An Analysis of Infection-Related Complications after Epidural Block / 대한통증학회지
The Korean Journal of Pain
;
: 164-167, 2006.
Artigo
em Coreano
| WPRIM
| ID: wpr-17832
ABSTRACT
BACKGROUND:
There have been an increasing number of reports about infection-related complications after epidural block, and the analysis of these previous reports may offer valuable information for the prevention and treatment of such complications.METHODS:
We searched for complications about infection that was related to epidural blockade procedures by using the Medline Search program. We analyzed the types of infection-related complications as well as the potential risk factors, the time course from symptom development to treatment, the causative organisms and the treatment outcomes.RESULTS:
Seventeen cases were identified. The types of complications were epidural abscess, subdural abscess, spinal arachnoiditis, bacterial meningitis and aseptic meningitis. Five patients received a single block and twelve patients received a continuous block with catheterization. The most common site of epidural catheterization was the lumbar area and eight patients had indwelling catheters for less than fifteen days. Eight patients had a diabetes mellitus as a risk factor and fourteen patients showed less than seven days from the development of symptoms to treatment. Eleven patients received laminectomy and intravenous antibiotics as a treatment and eight patients had full recovery without neurological deficit.CONCLUSIONS:
Early diagnosis and treatment is essential for the favorable outcome of infection-related complication after epidural block. In addition, absolute sterile technique should always be performed and patient education concerning these potential complications must be accompanied.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aracnoide-Máter
/
Aracnoidite
/
Cateterismo
/
Cateteres de Demora
/
Educação de Pacientes como Assunto
/
Fatores de Risco
/
Meningites Bacterianas
/
Abscesso Epidural
/
Diagnóstico Precoce
/
Diabetes Mellitus
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Pain
Ano de publicação:
2006
Tipo de documento:
Artigo
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