Complications of regional anaesthesia.

IF 2.1

Current opinion in anaesthesiology Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI:10.1097/ACO.0000000000001535

Paul Paterson, David Burckett-St Laurent, Alasdair Taylor

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Abstract

Purpose of review: In recent years, ultrasound-guided regional anaesthesia has become more widely available. Despite this, only around one fifth of consultant anaesthetists in the UK feel able to perform all the commonly used blocks. One significant reason for this is concern over the perceived complications of regional anaesthesia. This review provides up-to-date estimates of risk and considers issues raised in the latest literature on the topic.

Recent findings: Recent developments include guidelines for local anaesthetic toxicity, a novel method to classify block failure, and recommendations regarding team communication and use of safety devices. Regional anaesthesia continues to be safe, with recent case reports extending its applicability to higher risk situations. Examples include spinal anaesthesia at thoracic levels and in significant aortic stenosis.

Summary: Widespread adoption of safety technology and use of pre-existing and novel communication tools will continue to optimise the safety of regional anaesthesia. Standardisation of the reporting of complications of regional anaesthesia could improve this further.

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局部麻醉的并发症。

综述目的：近年来，超声引导下的局部麻醉越来越广泛。尽管如此，在英国，只有大约五分之一的顾问麻醉师能够完成所有常用的麻醉。其中一个重要的原因是对区域麻醉的并发症的关注。本综述提供了最新的风险估计，并考虑了有关该主题的最新文献中提出的问题。最近的发现：最近的发展包括局部麻醉毒性指南，一种新的阻滞失败分类方法，以及关于团队沟通和安全装置使用的建议。区域麻醉仍然是安全的，最近的病例报告将其适用于高风险情况。例子包括胸段和主动脉明显狭窄的脊髓麻醉。摘要：安全技术的广泛采用和已有的新型通信工具的使用将继续优化区域麻醉的安全性。区域麻醉并发症报告的标准化可以进一步改善这一点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Current opinion in anaesthesiology

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