Related Experiment Video
Updated: Jul 26, 2026
07:40
A Murine Model of Subarachnoid Hemorrhage
Published on: November 21, 2013
Epidural hematoma after outpatient epidural anesthesia
Andre Gilbert1, Brian D Owens, Michael F Mulroy
1Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington 98111, USA.
Anesthesia and Analgesia
|January 5, 2002
Summary
Epidural hematoma is a rare complication following epidural anesthesia in healthy individuals. Prompt diagnosis and treatment are crucial to prevent permanent neurological damage, especially in outpatient settings.
Area of Science:
- Anesthesiology
- Neurology
Background:
- Epidural anesthesia is a common procedure.
- Complications, though rare, require careful management.
Observation:
- Epidural hematoma is an infrequent complication of epidural anesthesia.
- This complication can occur in healthy patients.
Findings:
- Early recognition and intervention are key to preventing long-term neurological deficits.
- Patients undergoing outpatient procedures need clear instructions on symptom reporting.
Implications:
- Timely diagnosis and treatment of epidural hematoma are critical.
- Patients must be educated to report severe back pain or weakness promptly.
- Effective management can mitigate permanent neurologic injury.
Related Concept Videos
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:17Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...