Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector4285610.17816/RA42856ArticlesСтатьиReview ArticleNEUROLOGICAL COMPLICATIONS OF REGIONAL ANESTHESIAНЕВРОЛОГИЧЕСКИЕ ОСЛОЖНЕНИЯ РЕГИОНАРНОЙ АНЕСТЕЗИИOvechkinAlexei M.ОвечкинАлексей Михайлович

MD, PhD, DSc, professor of the Department of anesthesiology and intensive care, I.M.Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation

доктор медицинских наук, профессор кафедры анестезиологии и реаниматологии ФГАОУ ВО «Первый московский государственный медицинский университет им.И.М.Сеченова (Сеченовский университет)», 119991, Москва

ovechkin_alexei@mail.ruPolitovM. EПолитовМ. ЕMorozovD. VМорозовД. ВI.M.Sechenov First Moscow State Medical UniversityФГАОУ ВО «Первый московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)»N.N. Burdenko Voronezh State Medical UniversityВоронежский государственный медицинский университет имени Н.Н. Бурденко15032018121VOL 12, NO1 (2018)ТОМ 12, №1 (2018)61424082020Copyright ©; 2018, Eco-VectorCopyright ©; 2018, ООО "Эко-Вектор"2018Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/42856

In the review, neurological complications associated with regional anesthesia are discussed: epidural hematoma (frequency 0.0008 to 0.2%), spinal cord or peripheral nerves injury during puncture or catheter placement (frequency from 0.5 to 1%), post-dural puncture headache (frequency from 0.16 to 6% in obstetrics), transient neurologic syndrome (frequency from 0 to 37%, most often after spinal anesthesia with lidocaine), Horner’s syndrome (frequency from 0.13 to 2.5%). Epidemiology, risk factors, preventive measures, and management of neurological complications associated with regional anesthesia are presented.

Обзор посвящён неврологическим осложнениям регионарной анестезии. Рассматриваются такие осложнения, как эпидуральная гематома (частота развития от 0,0008 до 0,2%), повреждение спинного мозга или периферических нервов во время пункции или установки катетера (частота от 0,5 до 1%), постпункционная головная боль (частота от 0,16 до 6% в акушерской популяции), транзиторный неврологический синдром (частота от 0 до 37%, чаще всего после спинальной анестезии лидокаином), синдром Горнера (частота от 0,13 до 2,5%). Представлена эпидемиология данных осложнений, рассматриваются факторы риска, меры профилактики, лечебная тактика при развившихся осложнениях.

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