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Informed consent for regional anesthesia: what is necessary?

机译:区域麻醉知情同意:是什么有必要吗?

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In this issue of Regional Anesthesia and Pain Medicine, Brull et al.1 described what risks were disclosed to patients by academic anesthesiologists and anesthesia fellows in North American regional-anesthesia fellowship programs in obtaining informed consent for regional anesthesia. Brull et al.1 found the most commonly revealed risks were benign in nature and occurred frequently. For central neural block, the most commonly disclosed risks were headache, local pain/discomfort, and infection, whereas for peripheral-nerve block, transient neuropathy, local pain/discomfort, and infection were mentioned. Severe complications of regional anesthesia, including permanent neurologic injury, paralysis, cardiac arrest, seizures, and death were only infrequently disclosed in the process of informed consent. For instance, a minority of anesthesiologists described risks of paralysis (43%), seizures (20%), cardiac arrest (14%), and death (29%) to patients undergoing epidural anesthesia.1 In addition, the authors found that the incidences of severe complications cited by the anesthesiologists were often inconsistent with the literature.
机译:在这个区域麻醉和疼痛的问题医学、下降等al.1描述风险是什么通过学术披露病人麻醉医师和麻醉学者在北美国区域麻醉奖学金项目为区域获得知情同意麻醉。揭示了风险在性质和发生良性的频繁。一般风险披露头痛、当地疼痛/不适和感染,而周围神经,瞬态神经病变,局部疼痛/不适,和感染提及。麻醉,包括永久性的神经损伤、麻痹心脏骤停、癫痫和死亡只有很少披露知情同意的过程。少数的麻醉医师描述的风险瘫痪(43%),癫痫发作(20%),心脏骤停(14%),死亡(29%)患者接受硬膜外anesthesia.1发现严重并发症的发生率由麻醉医师经常被引用与文献不一致。

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