British Journal of Anaesthesia, 2002, Vol. 88, No. 6 760-763
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia
Editorial |
Editorial III
Somebody elses nervous system
1University Department of Anaesthesia, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK
Concerns about neurological sequelae of spinal (intrathecal) anaesthesia are almost as old as the technique, but are considered to be preventable by an understanding of all the possible mechanisms of harm and a careful technique.1 Spinal anaesthesia is now used frequently for a wide range of surgery on the lower half of the body, but it is difficult to know just how safe it is as few prospective data have been collected in recent years. A French survey did note the total incidence of neurological sequelae to be six in 10 000 spinal anaesthetics, with permanent deficit occurring in less than one in 10 000,2 although the prospective nature of this study has been questioned.3 However, there have been rumours emanating for some time from UK medico-legal circles of a disturbing number of cases of spinal cord damage associated with spinal anaesthesia. These rumours have been given substance by the
The patient
The equipment
The technique
Conclusions
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