{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:00:44Z","timestamp":1790607644108,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,6,24]],"date-time":"2014-06-24T00:00:00Z","timestamp":1403568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We undertook a prospective study of non\u2010obstetric epidurals placed in surgical inpatients at a single teaching hospital to evaluate the incidence of and potential risk factors for major complications of continuous epidural anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Demographic information, details of the epidural procedure, and complications (from the pre\u2010anesthetic period through resolution) were recorded for more than 5000 surgical inpatients who underwent continuous epidural anesthesia in our institution between\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      arch 2009 and\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      pril 2011. The incidence of and risk factors for major complications were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the study period, 5083 patients were interviewed and their details were recorded (98% capture rate). Sixty\u2010nine (1.36%) experienced major complications: epidural hematoma in 1 patient (0.02%), post\u2010operative neurologic deficits in 57 patients (1.12%), post\u2010dural puncture headache in 7 patients (0.14%), and systemic local anesthetic toxicity in 4 patients (0.08%). Only one patient had permanent sequelae: unilateral lower limb paresthesia. Identified risk factors for neurologic deficits were as follows:\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      merican Society of Anesthesiologists status\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      \u2013\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      , siting in the lumbar region, orthopedic and urologic surgery, multiple attempts to site an epidural, paresthesia during insertion, a history of neuraxial anesthesia, and use of patient\u2010controlled epidural analgesia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Serious complications were very rare; only one patient had permanent sequelae, and a single epidural hematoma was diagnosed. Post\u2010operative neurologic deficits were more common, but most complications resolved spontaneously within 3 months and they rarely required intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aas.12360","type":"journal-article","created":{"date-parts":[[2014,6,24]],"date-time":"2014-06-24T12:12:42Z","timestamp":1403611962000},"page":"858-866","source":"Crossref","is-referenced-by-count":67,"title":["Major complications of epidural anesthesia: a prospective study of 5083 cases at a single hospital"],"prefix":"10.1111","volume":"58","author":[{"given":"X.\u2010H.","family":"KANG","sequence":"first","affiliation":[{"name":"Department of Anesthesiology the First Affiliated Hospital School of Medicine Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.\u2010P.","family":"BAO","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology the First Affiliated Hospital School of Medicine Zhejiang 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