Incidence of epidural hematoma from use of epidural analgesia for hepatic resection surgery: A retrospective study

After institutional review board approval and the requirement for informed consent were waived, we searched for hepatic resections in which epidural analgesia was utilized from 2003 to 2012. Minimizing epidural bleeding risk during epidural analgesia for hepatic resection is likely based on multiple...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2020-06, Vol.62, p.109719-109719, Article 109719
Main Authors: Su, Jackson, Soliz, Jose M., Popat, Keyuri U., Gebhardt, Rodolfo
Format: Article
Language:English
Subjects:
Catheters
Consent
Epidural
Epidural analgesia
Epidural hematoma
Hematoma
Hepatic resection
Spinal stenosis
Surgery
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Summary:After institutional review board approval and the requirement for informed consent were waived, we searched for hepatic resections in which epidural analgesia was utilized from 2003 to 2012. Minimizing epidural bleeding risk during epidural analgesia for hepatic resection is likely based on multiple factors, including appropriate patient selection, such as exclusion of patients with pre-existing coagulopathy or spinal abnormality such as spinal stenosis, optimal timing of needle placement/catheter removal, and perioperative management. Written informed consent was waived by IRB.Ethics approval We received approval from the Institutional Review Board of The University of Texas MD Anderson Cancer Center (protocol DR09-0103) to conduct this retrospective analysis.Declaration of competing interest None.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2020.109719