Neuraxial anaesthesia in patients with cerebrospinal fluid shunts: A descriptive review.
Rev Esp Anestesiol Reanim (Engl Ed)
; 71(4): 317-323, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38354774
ABSTRACT
Neuraxial anesthesia in patients with cerebrospinal fluid (CSF) shunt devices has traditionally been associated with a high risk of complications. In order to gather all available evidence, a structured search was conducted to include published studies involving users of these devices, undergoing any form of neuraxial technique for obstetric or surgical procedures unrelated to them. Effectiveness of the technique and perioperative complications were assessed. Only case series and case reports (n = 72) were identified. One patient was found to have insufficient anesthetic coverage, necessitating a modification of the technique, and another one had an intraoperative complication which compromised the subject's safety. No infection events or postoperative device dysfunction related to the anesthetic method were described. The evidence found is scarce and of low quality, preventing the establishment of significant conclusions. Nevertheless, patients may obtain benefit from an individualized evaluation.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Derivações do Líquido Cefalorraquidiano
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Rev Esp Anestesiol Reanim (Engl Ed)
Ano de publicação:
2024
Tipo de documento:
Article