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Continuing Education in Anaesthesia Critical Care and Pain | Volume 4 Number 2 | 2004
© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Regional block and DVT prophylaxis

MR Checketts, FRCA, Consultant Anaesthetist
Ninewells Hospital and Medical School, Dundee, DD1 9SY

JAW Wildsmith, MD FRCA, Professor of Anaesthesia
University of Dundee, University Department of Anesthesia, Ninewells Hospital and Medical School, Dundee
Tel: 01382 632427, Fax: 01382 664914, E-mail: matthew_checketts{at}yahoo.co.uk (for correspondence)

The last few years have seen increasing concerns among anaesthetists about the risks of pharmacological prophylaxis for thromboembolic disease. Increased bleeding during or after surgery is one concern, but of greater significance is the possibility of an increased predisposition to haematoma formation when regional block is used. Most of the recent consideration of this problem has been in relation to vertebral canal haematoma formation after central nerve block. Some thought must be given also to the possibility of haematoma formation after peripheral techniques when the target nerve is deeply placed so that pressure cannot be used to control bleeding after needle insertion. However, this review will be focused on vertebral canal haematoma.


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