Contraindications of regional anesthesia

Keyword

Contraindications of regional anesthesia

spinal anesthesia

epidural anesthesia

Contraindications

• Absolute CIx.
1. patient refusal
2. coagulopathy or other bleeding diathesis
3. severe hypovolemia
4. elevated intracranial pressure(particularly with an intracranial mass)
5. infection at the site of injection
6. severe aortic stenosis
7. severe mitral stenosis
• Relative CIx.
1. sepsis
2. uncooperative patient
3. preexisting neurological deficits
4. demyelinating lesions
5. left ventricular outflow obstruction(hypertrophic obstructive cardiomyopathy)
6. severe spinal deformity
• Controversial
1. prior back surgery at the site of injection
2. Complicated surgery
3. prolonged operation
4. major blood loss
5. maneuvers that compromise respiration

Reference