RT Journal Article
SR Electronic
T1 Complications of Cervical Epidural Nerve Blocks with Steroids: A Prospective Study of 790 Consecutive Blocks
JF Regional Anesthesia: The Journal of Neural Blockade in Obstetrics, Surgery, & Pain Control
JO Reg Anesth Pain Med
FD BMJ Publishing Group Ltd
SP 149
OP 151
DO 10.1136/rapm-00115550-198914030-00011
VO 14
IS 3
A1 Steven D. Waldman
YR 1989
UL http://rapm.bmj.com/content/14/3/149.abstract
AB Two hundred-fifteen patients who underwent 790 consecutive cervical epidural nerve blocks were followed prospectively for a six-week period for early as well as delayed complications. Two patients sustained unintentional dural puncture. Both patients ultimately required cervical epidural blood patch. Three patients experienced vasovagal syncope during CSENB. Two of these patients required intravenous fluids and ephedrine to treat the symptomatic hypotension and nausea associated with the syncopal episode. One late complication of superficial infection at the injection site was noted. This infection was treated with incision and drainage and oral antibiotics. The patient recovered without sequela. From the above data, it appears that CSENB represents a safe modality in the treatment of a variety of painful conditions.