RT Book, Section
A1 Deschner, Steven
A2 Hadzic, Admir
SR Print(0)
ID 3506859
T1 Chapter 59. Regional Anesthesia in the Patient with Preexisting Neurologic
                                                                Disease
T2 NYSORA Textbook of Regional Anesthesia and Acute Pain Management
YR 2007
FD 2007
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071449069
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3506859
RD 2024/04/19
AB Patients  with  preexisting  neurologic  disease  present  a  unique  challenge  to  the  anesthesiologist.  Knowledge  of  the  pathophysiology  of  the  disease  and  the  effect  of  anesthetic  drug  therapy  on  the  disease  process  is  essential  for  the  safe  management  of  anesthesia  for  these  patients.  Both  active  and  dormant  neurologic  diseases  may  worsen  in  the  perioperative  period,  independent  of  the  chosen  anesthetic  method.  However  when  regional  techniques  are  used,  the  cause  of  postoperative  neurologic  deficits  may  be  difficult  to  evaluate  as  neural  injury  can  be  related  to  a  wide  variety  of  reasons,  ie,  surgical  trauma,  tourniquet  pressure,  improper  positioning,  or  anesthetic  technique.1  The  possibility  of  needle-induced  trauma,  local  anesthetic  toxicity,  or  neural  tissue  ischemia  or  damage  during  regional  anesthesia  has  led  many  anesthesiologists  to  avoid  regional  techniques  in  patients  with  underlying  neurologic  diseases.