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British Journal of Anaesthesia 2008 101(3):291-293; doi:10.1093/bja/aen232
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Haematoma and abscess after epidural analgesia

The first 10% of the full text of this article appears below.

The survey by Meikle and colleagues1 published in this month's British Journal of Anaesthesia highlights the uncommon but catastrophic complication of epidural haematoma. Although the incidence of symptomatic epidural haematoma may appear small, amounting, they suggest, to one case every 2 yr in the UK, it appears that the use of epidural infusions is increasing, alongside an increase in prophylactic anticoagulation and low-dependency care of patients with indwelling epidural catheters.2 The results of this survey indicate that the incidence of epidural haematoma may, in fact, be significantly higher than suggested by reported cases, and the ongoing national audit by the Royal College of Anaesthetists may give us a better indication of the true risk . . . [Full Text of this Article]

N. M. Bedforth1, A. R. Aitkenhead2 and J. G. Hardman2,*

1 Department of Anaesthesia
Queen's Medical Centre
Nottingham NG7 2UH
UK
2 University Department of Anaesthesia
Queen's Medical Centre
Nottingham NG7 2UH
UK

* E-mail: j.hardman@nottingham.ac.uk


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Reliable detection of epidural haematomas
Br. J. Anaesth., January 1, 2009; 102(1): 140 - 141.
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Haematomas and abscesses related to epidural analgesia
James H Low
British Journal of Anaesthesia, 2 Sep 2008 [Full text]
Haematoma and abscess after epidural analgesia
Manesh Mathews, et al.
British Journal of Anaesthesia, 10 Sep 2008 [Full text]