Doctor insights on:
What Is The Incidence Of Complications Resulting From Epidurals
Rare: Despite lots of "stories, " the truth is severe complications (abcess, permanent injury) are very rare. And the reputation that epidurals can cause chronic back pain has been disproven in multiple studies...The actual cause is really from the pregnancy itself, or the weight gain (or lack of weight loss after the pregnancy). ...Read moreSee 2 more doctor answers
...That is a measure of the risk of developing some new condition within a certain period of time. The incidence rate is the # of new cases per population that develop a disease over a period of time. So, in a population of 100, if 5 people develop the disease within 5 years, the incidence rate is 5% over 5 years. Compare to 'prevalence', which measures the total # ...Read more
Many: But they rarely happen. Infection at site of needle puncture or tissues surrounding the spinal nerves (arachnoiditis). Headache is there is spinal fluid leakage and this can be addressed. Extremely rare is damage to nerves. Sterile technique is important as well as an experienced and well trained anesthesiologist. ...Read moreSee 2 more doctor answers
Should my surgical anaesthesiologist to perform general anaesthesia know a prior incidence of rapidly elevated temp in reaction to epidural analgesia?
Not usually painful: Epidural insertion doesn't usually hurt since the area is numbed with local anesthesia. Possible complications include bruising or tenderness at the insertion point, bleeding into the epidural space (hematoma), infection, headache, and nerve damage. The anesthesiologist will explain these risks in more detail. As with any procedure, only get an epidural if the benefits outweigh the risks for you. ...Read moreSee 1 more doctor answer
See below: Labor epidurals are used to decrease pain in childbirth. They are usually safe and effective. There are rare complications including lowering of the blood pressure which can decrease blood flow to the baby (low BP is immediately tx), slowing of labor due to numbing of nerves needed to push the baby thru the birth canal. Other side effects depend on the drug given-itching if opiate used. ...Read more
Very rare: The risk of major complications with epidurals is extremely rare about 1:10, 000. ...Read more
Level?: Most frequent complication is spinal headache which can be treated with epidural blood patch. If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off. ...Read moreSee 2 more doctor answers
What is mthfr? Can the presence of mthfr increase complications from an inadvertent epidural puncture?
Genetic mutation: Methylenetetrahydrofolate reductase (mthfr) is the rate-limiting enzyme in the methyl cycle, and it is encoded by the mthfr gene. Genetic variation in this gene influences susceptibility to occlusive vascular disease, colon cancer, leukemia and neural tube defects. I am not aware of any relationship between mthfr levels and problems with epidural punctures. ...Read moreSee 1 more doctor answer
ESI complication: The potential risks associated with epidural steroid injection include spinal headache from a dural puncture, bleeding, infection, allergic reaction, and nerve damage / paralysis. Corticosteroid side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. ...Read moreSee 2 more doctor answers
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
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