[Regional Anesthesia in Patients with Pre-existing Infections or Immunosuppression]

Overview

Journal Anaesthesist

Specialty Anesthesiology

Date 2013 Mar 22

PMID 23515533

Citations 1

Authors

F List

P Kessler

T Volk

Affiliations

Soon will be listed here.

Abstract

Regional anesthesia is the most effective procedure for acute pain therapy. Whether neuraxial and peripheral blocks in patients with pre-existing infectious conditions, immune deficits or other risk factors increase the risk of additional infections is unclear. Analyzing the available literature currently seems to indicate that the incidence of severe infectious complications is generally low. Diabetes, steroid therapy or malignant diseases are apparently present in many cases in which infections associated with regional anesthesia and analgesia have been described. A strict contraindication in patients with pre-existing systemic or local infections seems unjustifiable. A clear and documented risk-benefit ratio in these patients is mandatory.

Citing Articles

Neuraxial Regional Anaesthesia in Patients with Active Infection and Sepsis: A Clinical Narrative Review.

Gimeno A, Errando C Turk J Anaesthesiol Reanim. 2018; 46(1):8-14.

PMID: 30140495 PMC: 5858898. DOI: 10.5152/TJAR.2018.12979.

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