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Anesth Analg 2002;94:77-78
© 2002 International Anesthesia Research Society

AMBULATORY ANESTHESIA

Epidural Hematoma After Outpatient Epidural Anesthesia

Andre Gilbert, MD, Brian D. Owens, MD, and Michael F. Mulroy, MD

Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington

Address correspondence to Brian D. Owens, MD, Department of Anesthesiology, B2-AN, 1100 9th Ave., PO Box 900, Seattle, WA 98111. Address e-mail to anebdo{at}vmmc.org

Epidural hematoma is a rare event after spinal or epidural anesthesia in healthy patients without coagulopathy or traumatic needle insertion (1,2). We present a case of a healthy patient who experienced an acute lumbar epidural hematoma after epidural anesthesia for an outpatient knee arthroscopy.

IMPLICATIONS: Epidural hematoma is a rare complication of epidural anesthesia in healthy patients. Expedient diagnosis and treatment are essential to avoid permanent neurologic deficits. In an outpatient setting, patients should be instructed to communicate symptoms of severe back pain or weakness early.




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R. S. Tubbs, M. D. Smyth, J. C. Wellons III, and W. J. Oakes
Intramedullary Hemorrhage in a Neonate After Lumbar Puncture Resulting in Paraplegia: A Case Report
Pediatrics, May 1, 2004; 113(5): 1403 - 1405.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.