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British Journal of Anaesthesia 2004 93(2):301-303; doi:10.1093/bja/aeh591
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

CORRESPONDENCE

Chronic adhesive arachnoiditis

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

Editor—The review on the topic of ‘chronic adhesive arachnoiditis’ (CAA) from obstetric epidurals by Rice and colleagues1 was apparently triggered by a series of articles that appeared in one of the London tabloids, fostered by some of the members of the Arachnoiditis Trust. These articles were unreasonable to many of us that remember the statistics of maternal deaths in the 1970s in the UK,2 when general anaesthesia was the predominant form of analgesia; aspiration of gastric contents and difficulty with tracheal intubation were the main culprits. I also feel that it is the right of women in labour to ask for pain relief, and anaesthetists ought to provide it for them. But we cannot deny that neuroaxial anaesthesia produces morbidity and that neurological deficits are probably one of the most serious. Unfortunately, the authors of the review lost . . . [Full Text of this Article]

J. A. Aldrete

Birmingham, AL, USA

I. Rice1, M. Y. K. Wee2 and K. Thomson3

1 Isle of Wight, UK 2 Poole, UK 3 Basingstoke, UK


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