{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:48:16Z","timestamp":1777376896182,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1993,10,1]],"date-time":"1993-10-01T00:00:00Z","timestamp":749433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[1993,10]]},"abstract":"<jats:p>There were 160 incidents associated with regional anaesthesia amongst the first 2000 incidents reported to the Australian Incident Monitoring Study. They were categorised into 6 groups; epidural anaesthesia (83), spinal anaesthesia (42), brachial plexus blocks (14), intravenous local anaesthesia (4), ocular blocks (3), and local infiltration (14). The largest single cause of incidents involved circulatory problems; these occurred in all the groups except brachial plexus block (30 cases of hypotension, 7 of arrythmias, 3 of cardiac arrest, 2 of hypertension and 1 of myocardial ischaemia). There were 24 drug errors, of which 10 involved the \u201cwrong drug\u201d and 4 \u201cinappropriate use\u201d. With the exception of these, all the remainder involved problems specific to regional anaesthesia: 26 inadvertent dural punctures; 19 failed or inadequate blocks; 14 dural puncture headaches (all cured by blood patches); 10 inadvertent total or high spinal blocks (of which 7 required artificial ventilation); 5 blocks on the wrong side or in the wrong patient; 3 late hypoxic incidents and a variety of miscellaneous problems. Three-quarters of all incidents occurred in the presence of an anaesthetist and over 90% in patients of ASA Groups I-III. Rapid recognition by the anaesthetist prevented many potentially life threatening events, and the only death was as a result of surgical bleeding.<\/jats:p>","DOI":"10.1177\/0310057x9302100526","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T17:30:44Z","timestamp":1548178244000},"page":"646-649","source":"Crossref","is-referenced-by-count":34,"title":["Problems with Regional Anaesthesia: An Analysis of 2000 Incident Reports"],"prefix":"10.1177","volume":"21","author":[{"given":"M. A. L.","family":"Fox","sequence":"first","affiliation":[{"name":"Department of Anaesthesia & Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. K.","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia & Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Singleton","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia & Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Ludbrook","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia & Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. B.","family":"Runciman","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia & Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1993,10,1]]},"reference":[{"key":"bibr1-0310057X9302100526","unstructured":"Sherwood-DunnB. Regional anesthesia (Victor Pauchet's technique) FA Davis Company, 1920; 1."},{"key":"bibr2-0310057X9302100526","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100507"},{"key":"bibr3-0310057X9302100526","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100517"},{"key":"bibr4-0310057X9302100526","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100534"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X9302100526","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X9302100526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:06:04Z","timestamp":1777367164000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X9302100526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,10]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1993,10]]}},"alternative-id":["10.1177\/0310057X9302100526"],"URL":"https:\/\/doi.org\/10.1177\/0310057x9302100526","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,10]]}}}