کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2748775 | 1149211 | 2008 | 25 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Infectious complications of regional anesthesia
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کلمات کلیدی
Epidural abscess - آبسه اپیدورالPovidone iodine - بتادینEpidural anesthesia - بی حسی اپیدورالNeuraxial anesthesia - بی حسی نوروزیSpinal anesthesia - بیحسی نخاعی، بی حسی اسپاینالaseptic technique - تکنیک آسپتیکlumbar puncture - سوراخ بینی کمریInfection - عفونتMeningitis - مننژیتhuman immunodeficiency virus - ویروس نقص ایمنی انسانیherpes simplex virus - ویروس هرپس سیمپلکسChlorhexidine - کلرهگزیدین
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله

چکیده انگلیسی
Although individual cases have been reported in the literature, serious infections of the central nervous system (CNS) such as arachnoiditis, meningitis, and abscess following spinal or epidural anesthesia are rare. However, recent epidemiologic series from Europe suggest that the frequency of infectious complications associated with neuraxial techniques may be increasing. Importantly, while meningitis and epidural abscess are both complications of neuraxial block, the risk factors and causative organisms are disparate. For example, staphylococcus is the organism most commonly associated epidural abscess; often these infections occurred in patients with impaired immunity. Conversely, meningitis follows dural puncture, and is typically caused by alpha-hemolytic streptococci, with the source of the organism the nasopharynx of the proceduralist. In order to reduce the risk of serious infection following neuraxial blockade, the clinician must be knowledgeable in the pathogenesis of CNS infections, patient selection, and use of meticulous aseptic technique. Finally, since delay in the diagnosis may result in morbidity and even death, it is crucial to be aware of the presenting signs and symptoms of meningitis and epidural abscess.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Best Practice & Research Clinical Anaesthesiology - Volume 22, Issue 3, September 2008, Pages 451-475
Journal: Best Practice & Research Clinical Anaesthesiology - Volume 22, Issue 3, September 2008, Pages 451-475
نویسندگان
Terese T. (Professor of Anesthesiology and Orthopedics), Denise J. (Professor of Anesthesiology),