Risk Factors for Epidural or Spinal Hematoma Associated with Epidural Anesthesia or Spinal Puncture

Description

An epidural or spinal hematoma may develop following epidural or spinal anesthesia or spinal puncture. This can result in permanent paralysis if unrecognized. Certain risk factors can help identify a patient who should be more closely monitored for this complication.

Risk factors associated with increased bleeding tendency:

(1) anticoagulation with unfractionated or low molecular weight heparin

(2) nonsteroidal anti-inflammatory drugs (NSAIDS) or drugs with antiplatelet activity

(3) anticoagulation with coumadin

(4) herbal products with anti-platelet activity (garlic, ginkgo, ginseng, etc.)

Risk factors associated with traumatic injury:

(1) indwelling epidural catheter

(2) traumatic puncture

(3) repeated puncture

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Description

Specialty

ICD-10