Abstract
The use of ultrasound guidance in lumbar neuraxial blockade
Highlights
Neuraxial blockade of the lumbar spine is the standard of care for obstetric procedures
In most of the errors, the physician underestimated the interspace level. This meant that the level they identified was higher than the level that they thought was identified, which can potentially lead to unintentional puncture of the spinal cord during injection
Moen et al.[3] conducted a review of neurological complications associated with lumbar neuraxial blockade in Sweden from 1990 to 1999, and found that nine patients suffered from traumatic spinal cord lesions following the procedure
Summary
Neuraxial blockade of the lumbar spine is the standard of care for obstetric procedures The incidence of spinal cord trauma associated with lumbar neuraxial blockade, most of which caused by underestimation of spinal level, is not high (1 in 190000, based on studies so far) as the majority of incorrect punctures are benign.[3] when it does occur, the consequences that follow such a complication can be devastating for both the patient and his/her family.
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