RT Book, Section
A1 Torrillo, Toni
A2 Atchabahian, Arthur
A2 Gupta, Ruchir
SR Print(0)
ID 57262342
T1 Chapter 121. Neuraxial Anesthesia
T2 The Anesthesia Guide
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176049-2
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57262342
RD 2024/04/19
AB Table  Graphic  Jump  Location|Download  (.pdf)|PrintContraindications  to  Neuraxial  AnesthesiaAbsoluteRelativeControversialPatient  refusalInfection  at  injection  siteIncreased  ICPCoagulopathy  (cutoff  for  PTT,  INR,  platelet  values  unclear)Antiplatelet  medications  (e.g.,  clopidogrel  [Plavix],  ticlopidine  [Ticlid])Critical  aortic  or  mitral  stenosisSevere  spinal  deformity  or  pathology  (complete  spina  bifida,  meningocele)Uncooperative  patientSepsisPreexisting  neurological  deficits,1  hydrocephalus,  severe  convulsive  disordersComplicated  surgery  (major  EBL,  potential  for  respiratory  compromise)Stenotic  heart  valve—weigh  risk/benefit.  Consider  patient  functional  statusSevere  hypovolemiaSpinal  deformity  or  pathology  not  at  injection  siteInability  to  communicate  with  patientDemyelinating  lesions1  (multiple  sclerosis)Prior  back  surgery  or  fusionSpinal  anesthesia  following  failed  epidural  anesthesia1Concern  may  be  more  medicolegal  than  medical.