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Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey

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Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey. / Holloway, J; Seed, P T; O'Sullivan, G; Reynolds, F.

In: INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, Vol. 9, No. 3, 07.2000, p. 151 - 155.

Research output: Contribution to journalArticle

Harvard

Holloway, J, Seed, PT, O'Sullivan, G & Reynolds, F 2000, 'Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey', INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, vol. 9, no. 3, pp. 151 - 155. https://doi.org/10.1054/ijoa.2000.0391

APA

Holloway, J., Seed, P. T., O'Sullivan, G., & Reynolds, F. (2000). Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 9(3), 151 - 155. https://doi.org/10.1054/ijoa.2000.0391

Vancouver

Holloway J, Seed PT, O'Sullivan G, Reynolds F. Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA. 2000 Jul;9(3):151 - 155. https://doi.org/10.1054/ijoa.2000.0391

Author

Holloway, J ; Seed, P T ; O'Sullivan, G ; Reynolds, F. / Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey. In: INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA. 2000 ; Vol. 9, No. 3. pp. 151 - 155.

Bibtex Download

@article{0522ca9d640c4f2196eafeed2ce1790d,
title = "Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey",
abstract = "Concern has been expressed that recent changes in techniques of spinal blockade may have resulted in an increase in frequency of neurological sequelae. In order to make preliminary enquiries about anaesthetists' recent experiences of neurological sequelae following spinal and combined spinal-epidural anaesthesia, a questionnaire, covering numbers of procedures, needles used and any neurological problems that had been encountered, was sent to the anaesthetist in charge of each obstetric centre on the Royal College of Obstetricians and Gynaecologists' United Kingdom list. Replies were received from 222 of the 259 units, of whom 40 reported a total of 56 cases involving prolonged neurological sequelae, of which nine were probable obstetric palsies, 18 could be attributed to the regional procedure (one instance of conus damage and the rest largely sensory disturbances) and 29 were of uncertain origin, including a second conus damage. There was no obvious difference in incidence of problems associated with combined spinal-epidural vs. the single-shot spinal technique (odds ratio 1.14, confidence interval 0.53 to 2.46), or Sprotte vs. Whitacre atraumatic needle (odds ratio 1.40, confidence interval 0.64 to 3.08), A prospective survey, or better still, randomisation would be needed to verify these findings. (C) 2000 Halcourt Publishers Ltd.",
author = "J Holloway and Seed, {P T} and G O'Sullivan and F Reynolds",
year = "2000",
month = jul,
doi = "10.1054/ijoa.2000.0391",
language = "English",
volume = "9",
pages = "151 -- 155",
journal = "INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA",
issn = "0959-289X",
publisher = "Churchill Livingstone",
number = "3",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Paraesthesiae and nerve damage following combined spinal epidural and spinal anaesthesia: a pilot survey

AU - Holloway, J

AU - Seed, P T

AU - O'Sullivan, G

AU - Reynolds, F

PY - 2000/7

Y1 - 2000/7

N2 - Concern has been expressed that recent changes in techniques of spinal blockade may have resulted in an increase in frequency of neurological sequelae. In order to make preliminary enquiries about anaesthetists' recent experiences of neurological sequelae following spinal and combined spinal-epidural anaesthesia, a questionnaire, covering numbers of procedures, needles used and any neurological problems that had been encountered, was sent to the anaesthetist in charge of each obstetric centre on the Royal College of Obstetricians and Gynaecologists' United Kingdom list. Replies were received from 222 of the 259 units, of whom 40 reported a total of 56 cases involving prolonged neurological sequelae, of which nine were probable obstetric palsies, 18 could be attributed to the regional procedure (one instance of conus damage and the rest largely sensory disturbances) and 29 were of uncertain origin, including a second conus damage. There was no obvious difference in incidence of problems associated with combined spinal-epidural vs. the single-shot spinal technique (odds ratio 1.14, confidence interval 0.53 to 2.46), or Sprotte vs. Whitacre atraumatic needle (odds ratio 1.40, confidence interval 0.64 to 3.08), A prospective survey, or better still, randomisation would be needed to verify these findings. (C) 2000 Halcourt Publishers Ltd.

AB - Concern has been expressed that recent changes in techniques of spinal blockade may have resulted in an increase in frequency of neurological sequelae. In order to make preliminary enquiries about anaesthetists' recent experiences of neurological sequelae following spinal and combined spinal-epidural anaesthesia, a questionnaire, covering numbers of procedures, needles used and any neurological problems that had been encountered, was sent to the anaesthetist in charge of each obstetric centre on the Royal College of Obstetricians and Gynaecologists' United Kingdom list. Replies were received from 222 of the 259 units, of whom 40 reported a total of 56 cases involving prolonged neurological sequelae, of which nine were probable obstetric palsies, 18 could be attributed to the regional procedure (one instance of conus damage and the rest largely sensory disturbances) and 29 were of uncertain origin, including a second conus damage. There was no obvious difference in incidence of problems associated with combined spinal-epidural vs. the single-shot spinal technique (odds ratio 1.14, confidence interval 0.53 to 2.46), or Sprotte vs. Whitacre atraumatic needle (odds ratio 1.40, confidence interval 0.64 to 3.08), A prospective survey, or better still, randomisation would be needed to verify these findings. (C) 2000 Halcourt Publishers Ltd.

UR - http://www.scopus.com/inward/record.url?scp=0033949598&partnerID=8YFLogxK

U2 - 10.1054/ijoa.2000.0391

DO - 10.1054/ijoa.2000.0391

M3 - Article

VL - 9

SP - 151

EP - 155

JO - INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA

JF - INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA

SN - 0959-289X

IS - 3

ER -

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