2024
Comparable Overall Risk of Neurologic Adverse Events Following Cervicothoracic Interlaminar and Transforaminal Epidural Injections: An Analysis of 1.29 Million Patients.
Seddio A, McNamara K, Gouzoulis M, Jabbouri S, Vasudevan R, Day W, Ratnasamy P, Rubio D, Grauer J. Comparable Overall Risk of Neurologic Adverse Events Following Cervicothoracic Interlaminar and Transforaminal Epidural Injections: An Analysis of 1.29 Million Patients. Spine 2024 PMID: 39394649, DOI: 10.1097/brs.0000000000005181.Peer-Reviewed Original ResearchNeurological adverse eventsAdverse eventsElixhauser Comorbidity IndexNeurological complicationsOdds ratioEpidural spinal injectionsInterlaminar (ILTransforaminal epidural injectionsAssociated with specific complicationsTransforaminal (TFNerve root injuryRisk of complicationsAssociated with higher odds ratiosMultivariate logistic regressionRisk of neurological adverse eventsHigher odds ratioCervical pathologyEpidural hematomaTF injectionSpinal injectionEpidural injectionSpecific complicationsAdult patientsCase reportComorbidity indexFACTFINDERS FOR PATIENT SAFETY: Minimizing risks with cervical epidural injections
Holder E, Lee H, Raghunandan A, Marshall B, Michalik A, Nguyen M, Saffarian M, Schneider B, Smith C, Tiegs-Heiden C, Zheng P, Patel J, Levi D, Committee I. FACTFINDERS FOR PATIENT SAFETY: Minimizing risks with cervical epidural injections. Interventional Pain Medicine 2024, 3: 100430. PMID: 39502902, PMCID: PMC11536293, DOI: 10.1016/j.inpm.2024.100430.Peer-Reviewed Original ResearchEpidural steroid injectionsCervical transforaminal epidural steroid injectionsTransforaminal epidural steroid injectionCervical epidural injectionsSpinal cord injurySteroid injectionContralateral obliqueDural punctureEpidural hematomaCervical interlaminar epidural steroid injectionCord injuryEpidural injectionEpidural spaceCatastrophic neurologic injuryLoss of resistanceInterlaminar epidural steroid injectionsComplication of dural punctureComplication of spinal cord injuryNeedle placementCase reports of patientsReview of cross-sectional imagingSevere systemic complicationsInadvertent dural puncturePatient safetyReports of patients
2021
The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L. The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia. Anesthesia & Analgesia 2021, 132: 1531-1544. PMID: 33861047, DOI: 10.1213/ane.0000000000005355.Peer-Reviewed Original ResearchConceptsSpinal epidural hematomaObstetric patientsNeuraxial proceduresImmune thrombocytopeniaEpidural hematomaGeneral anesthesiaRisk factorsObstetric risk factorsRisk-benefit discussionsDiagnosis of thrombocytopeniaRelevant professional societiesInterdisciplinary consensus statementGestational thrombocytopeniaThrombocytopenia etiologyHypertensive disordersPatient comorbiditiesCesarean deliveryProfessional societiesAirway examinationPotential morbidityPlatelet countPatient preferencesObstetric anesthesiaAirway equipmentAffected patients
2020
Decision analysis and personalized clinical tool for cerebrospinal fluid drains in thoracoabdominal aortic aneurysms repair
Tam DY, Khan FM, Robinson NB, Hameed I, Rong LQ, Fremes SE, Girardi LN, Gaudino M. Decision analysis and personalized clinical tool for cerebrospinal fluid drains in thoracoabdominal aortic aneurysms repair. Journal Of Cardiac Surgery 2020, 36: 171-175. PMID: 33135254, DOI: 10.1111/jocs.15162.Peer-Reviewed Original ResearchConceptsCSF drainTAAA repairThoracoabdominal aneurysmsOperative repairDrain insertionLife expectancyThoracoabdominal aortic aneurysm repairRoutine useCSF drain placementSpinal cord ischemiaAortic aneurysm repairCerebrospinal fluid drainsCerebrospinal fluid drainageState-transition cohort modelCord ischemiaEpidural hematomaAneurysm repairSubarachnoid hemorrhageDrain placementFluid drainageClinical toolPersonalized approachPatientsFluid drainsCohort modelLumbar Neuraxial Procedures in Thrombocytopenic Patients Across Populations: A Systematic Review and Meta-analysis
Bauer M, Toledano R, Houle T, Beilin Y, MacEachern M, McCabe M, Rector D, Cooper J, Gernsheimer T, Landau R, Leffert L. Lumbar Neuraxial Procedures in Thrombocytopenic Patients Across Populations: A Systematic Review and Meta-analysis. Obstetric Anesthesia Digest 2020, 40: 118-118. DOI: 10.1097/01.aoa.0000693644.32975.42.Peer-Reviewed Original ResearchNeuraxial anesthetic proceduresSpinal epidural hematomaEpidural hematomaThrombocytopenic patientsNeuraxial proceduresAnesthetic proceduresSystematic reviewThreshold platelet countCesarean deliveryFetal factorsNeuraxial anesthesiaGeneral anesthesiaPlatelet countSide effectsMeta-analysisHematomaPatientsAnesthesiaReviewPopulation
2019
Lumbar neuraxial procedures in thrombocytopenic patients across populations: A systematic review and meta-analysis
Bauer ME, Toledano RD, Houle T, Beilin Y, MacEachern M, McCabe M, Rector D, Cooper JP, Gernsheimer T, Landau R, Leffert L. Lumbar neuraxial procedures in thrombocytopenic patients across populations: A systematic review and meta-analysis. Journal Of Clinical Anesthesia 2019, 61: 109666. PMID: 31810860, DOI: 10.1016/j.jclinane.2019.109666.Peer-Reviewed Original Research
2018
Neuraxial Anesthesia in Obstetric Patients Receiving Thromboprophylaxis With Unfractionated or Low–Molecular-Weight Heparin
Leffert L, Dubois H, Butwick A, Carvalho B, Houle T, Landau R. Neuraxial Anesthesia in Obstetric Patients Receiving Thromboprophylaxis With Unfractionated or Low–Molecular-Weight Heparin. Obstetric Anesthesia Digest 2018, 38: 3-4. DOI: 10.1097/01.aoa.0000529964.63597.d5.Peer-Reviewed Original ResearchSpinal epidural hematomaObstetric patientsNeuraxial anesthesiaWeight heparinVenous thromboembolismCesarean deliveryEpidural hematomaPregnant womenNeuraxial blockadeNational guidelinesPatientsThromboprophylaxisHeparinAnesthesiaSafe useWomenLow-MolecularThromboembolismHematomaBlockadeReview reportsPresent review reports
2017
Neuraxial Anesthesia in Obstetric Patients Receiving Thromboprophylaxis With Unfractionated or Low-Molecular-Weight Heparin
Leffert LR, Dubois HM, Butwick AJ, Carvalho B, Houle TT, Landau R. Neuraxial Anesthesia in Obstetric Patients Receiving Thromboprophylaxis With Unfractionated or Low-Molecular-Weight Heparin. Anesthesia & Analgesia 2017, 125: 223-231. PMID: 28628578, DOI: 10.1213/ane.0000000000002173.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAnesthesia, ConductionAnesthesia, ObstetricalAnesthesiologyAnestheticsAnticoagulantsCesarean SectionDelivery, ObstetricFemaleHematoma, Epidural, SpinalHeparinHeparin, Low-Molecular-WeightHumansMiddle AgedNerve BlockPregnancyPregnancy Complications, CardiovascularThrombosisYoung AdultConceptsSpinal epidural hematomaCases of SEHNeuraxial anesthesiaObstetric patientsVenous thromboembolismWeight heparinAnesthesia Closed Claims Project databaseSystematic reviewPractice changePostpartum venous thromboembolismVaginal delivery hospitalizationsWeight heparin doseRisk of thromboembolismLarge-scale registriesMajority of womenEnglish-language studiesAnticoagulated womenDelivery hospitalizationsPharmacological thromboprophylaxisAnticoagulant doseCesarean deliveryEpidural hematomaHeparin doseVaginal deliveryGeneral anesthesiaThoracic Epidural Anesthesia and Prophylactic Three Times Daily Unfractionated Heparin Within an Enhanced Recovery After Surgery Pathway for Colorectal Surgery
Stone A, Grant M, Lau B, Hobson D, Streiff M, Haut E, Wu C, Wick E. Thoracic Epidural Anesthesia and Prophylactic Three Times Daily Unfractionated Heparin Within an Enhanced Recovery After Surgery Pathway for Colorectal Surgery. Regional Anesthesia & Pain Medicine 2017, 42: 197-203. PMID: 28079734, DOI: 10.1097/aap.0000000000000542.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAnalgesia, EpiduralAnesthesia, EpiduralAnticoagulantsBaltimoreCatheters, IndwellingColonDatabases, FactualDevice RemovalDigestive System Surgical ProceduresDrug Administration ScheduleEarly AmbulationHeparinHumansProgram EvaluationRectumRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeVenous ThromboembolismConceptsThoracic epidural analgesiaVTE prophylaxisEpidural removalERAS programVenous thromboembolismTEA patientsHeparin dosesEpidural analgesiaSurgery pathwayPerioperative thoracic epidural analgesiaColorectal surgery patientsDose of UFHOptimal VTE prophylaxisPercent of patientsThoracic epidural anesthesiaEpidural catheter placementSingle academic centerPreoperative dosesThrombohemorrhagic complicationsColorectal surgeryEpidural hematomaNeuraxial analgesiaSurgery patientsSurgical indicationsUnfractionated heparin
1976
Cerebral cortical arteries in the diagnosis of epidural hematoma
Glickman M, Handel S, Hoff J, Coulson W. Cerebral cortical arteries in the diagnosis of epidural hematoma. Neuroradiology 1976, 10: 187-195. PMID: 1256646, DOI: 10.1007/bf00329995.Peer-Reviewed Original ResearchConceptsEpidural hematomaCortical compressionCarotid arteriographyCarotid arteryYear prospective studyCerebral cortical arteriesCommon carotid arteryExternal carotid arteryCortical arteriesExtrinsic compressionCerebral arteriogramsCerebral cortexProspective studySubdural hematomaHead injuryIntracerebral injuryHematomaPatientsArteryArteriographyArteriogramsInjuryYear periodSignsOpacification
1975
The lateral angiogram in the differentiation of extracerebral hematomas.
Winter T, Glickman M. The lateral angiogram in the differentiation of extracerebral hematomas. Radiology 1975, 116: 661-5. PMID: 1153776, DOI: 10.1148/116.3.661.Peer-Reviewed Original Research
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