Anaes Vivas · Neuraxial anaesthesia
Clinical viva — contraindications to neuraxial anaesthesia
A clinical viva on contraindications — patient refusal, coagulopathy (ASRA guidelines), local infection, raised ICP, severe aortic stenosis, and hypovolaemia.
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Target exams
ANZCAFRCAABAEDAIC
Prompt
The examiner asks you to list the absolute and relative contraindications to a central neuraxial block, and to explain the reasoning behind each.
Stimulus
List the absolute and relative contraindications to a central neuraxial block, and explain the reasoning behind each.
[1]References2ShowHide
- [1]Cook TM, et al. Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists. British Journal of Anaesthesia, 2009.PMID 19139027
- [2]Horlocker TT, et al. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Regional Anesthesia and Pain Medicine, 2010.PMID 20052816