Abstract

The advantages of central neuraxial block are well known, but when it is used in patients receiving anticoagulant drugs it may lead to vertebral canal bleeding. The incidence of vertebral canal haematoma is low; after reviewing 1.5 million patients, Tryba estimated the risk as 1/150,000 epidural anaesthetics and 1/220,000 spinal anaesthetics. However, the risk is higher in patients who have received drugs that impair coagulation.

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