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[Survey of nerve injury associated with epidural/spinal anesthesia in Japan which occurred in the year 2004].
Masui. 2007 Apr; 56(4):469-80.M

Abstract

BACKGROUND

The incidence of nerve injury associated with epidural/spinal anesthesia has not been sufficiently investigated in Japan.

PURPOSE

The incidence of nerve injury caused by inappropriate epidural/spinal puncture or catheter placement was examined using data obtained by a survey conducted by the Japanese Society of Anesthesiologists for the year 2004.

METHODS

In a survey for the year 2004, 1,218,371 anesthetic procedures were registered, among which 548,819 patients were estimated to be anesthetized under epidural/spinal procedures with or without general anesthesia. Twenty nine patients were reported to have incurred nerve injury due to inappropriate epidural/spinal puncture or catheter placement.

RESULTS

Seven cases of spinal cord and 22 cases of peripheral nerve injury were reported, with estimated incidences of 1/78,000 and 1/25,000 procedures, respectively. Spinal cord injury developed before the start of surgery in 4 cases, intraoperatively in 1 case, and after the end of surgery in 2 cases. Permanent nerve damage developed in 4 patients with spinal cord injury and 7 patients with peripheral nerve injury. Eighty three percent of these events were reported to be preventable.

CONCLUSIONS

The incidence of nerve injury caused by regional anesthesia in Japan seems to be comparable to those reported in the developed countries. To reduce the incidence of this complication, cautious evaluation of the risk/benefit balance in performing regional anesthesia, improving education and supervision of the procedures, and establishing better communication between anesthesiologists and surgeons concerning the timing of catheter removal and the postoperative coagulation state seem to be important.

Authors+Show Affiliations

Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

17441462

Citation

Irita, Kazuo, et al. "[Survey of Nerve Injury Associated With Epidural/spinal Anesthesia in Japan Which Occurred in the Year 2004]." Masui. the Japanese Journal of Anesthesiology, vol. 56, no. 4, 2007, pp. 469-80.
Irita K, Nakatsuka H, Tsuzaki K, et al. [Survey of nerve injury associated with epidural/spinal anesthesia in Japan which occurred in the year 2004]. Masui. 2007;56(4):469-80.
Irita, K., Nakatsuka, H., Tsuzaki, K., Sawa, T., Sanuki, M., Makita, K., & Morita, K. (2007). [Survey of nerve injury associated with epidural/spinal anesthesia in Japan which occurred in the year 2004]. Masui. the Japanese Journal of Anesthesiology, 56(4), 469-80.
Irita K, et al. [Survey of Nerve Injury Associated With Epidural/spinal Anesthesia in Japan Which Occurred in the Year 2004]. Masui. 2007;56(4):469-80. PubMed PMID: 17441462.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Survey of nerve injury associated with epidural/spinal anesthesia in Japan which occurred in the year 2004]. AU - Irita,Kazuo, AU - Nakatsuka,Hideki, AU - Tsuzaki,Koichi, AU - Sawa,Tomohiro, AU - Sanuki,Michiyoshi, AU - Makita,Koshi, AU - Morita,Kiyoshi, PY - 2007/4/20/pubmed PY - 2007/5/23/medline PY - 2007/4/20/entrez SP - 469 EP - 80 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 56 IS - 4 N2 - BACKGROUND: The incidence of nerve injury associated with epidural/spinal anesthesia has not been sufficiently investigated in Japan. PURPOSE: The incidence of nerve injury caused by inappropriate epidural/spinal puncture or catheter placement was examined using data obtained by a survey conducted by the Japanese Society of Anesthesiologists for the year 2004. METHODS: In a survey for the year 2004, 1,218,371 anesthetic procedures were registered, among which 548,819 patients were estimated to be anesthetized under epidural/spinal procedures with or without general anesthesia. Twenty nine patients were reported to have incurred nerve injury due to inappropriate epidural/spinal puncture or catheter placement. RESULTS: Seven cases of spinal cord and 22 cases of peripheral nerve injury were reported, with estimated incidences of 1/78,000 and 1/25,000 procedures, respectively. Spinal cord injury developed before the start of surgery in 4 cases, intraoperatively in 1 case, and after the end of surgery in 2 cases. Permanent nerve damage developed in 4 patients with spinal cord injury and 7 patients with peripheral nerve injury. Eighty three percent of these events were reported to be preventable. CONCLUSIONS: The incidence of nerve injury caused by regional anesthesia in Japan seems to be comparable to those reported in the developed countries. To reduce the incidence of this complication, cautious evaluation of the risk/benefit balance in performing regional anesthesia, improving education and supervision of the procedures, and establishing better communication between anesthesiologists and surgeons concerning the timing of catheter removal and the postoperative coagulation state seem to be important. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/17441462/[Survey_of_nerve_injury_associated_with_epidural/spinal_anesthesia_in_Japan_which_occurred_in_the_year_2004]_ L2 - https://medlineplus.gov/spinalcordinjuries.html DB - PRIME DP - Unbound Medicine ER -