Anaes Vivas · Neuraxial anaesthesia
The neuraxial emergency — clinical communication viva
A clinical viva on the suspected epidural haematoma: the immediate bedside assessment, the threshold for urgent imaging and neurosurgery, the differential (PDPH, abscess, high spinal), and the structured emergency response that determines the neurological outcome.
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Prompt
You are called to the ward at 2 a.m. A patient who had an epidural catheter removed six hours ago is complaining of severe new lower-back pain and says their legs feel weak. Describe your assessment and your immediate and subsequent management.
Stimulus
You are called to the ward at 2 a.m. A patient who had an epidural catheter removed six hours ago is complaining of severe new lower-back pain and says their legs feel weak. Describe your assessment and your immediate and subsequent management[2][4].
References4ShowHide
- [1]Pynadath AD, Brunner AG Neuraxial Anesthesia in Severe Hemophilia A Using Extended Half-Life Factor VIII (Efanesoctocog Alfa): A Case Report. A&A Practice, 2026.PMID 42315164
- [2]Grace K, Schuster NM, Smith CC International Pain and Spine Intervention Society Emergency Protocols: Epidural Hematoma. Interv Pain Med, 2026.PMID 42306256
- [4]Rodriguez J, Hoffman S Thoracic Spinal Epidural Abscess After Spinal Cord Stimulation Trial With Cord Compression but Preserved Neurologic Function: A Rehabilitation Case. Cureus, 2026.PMID 42359233
- [6]Reddi S, et al. Neuraxial anesthesia in obstetric patients with rare spinal pathologies: a scoping review. Int J Obstet Anesth, 2026.PMID 41916044