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Much new material relating to new spinal medications, dosage regimens, adjunctive agents, posture and baricity and mechanisms of failure of neuraxial blockade is included in this textbook.
Heightened awareness of altered neurology in patients presenting after neuraxial blockade should lead to prompt evaluation, with the findings documented to enable further consultation and intervention without delay (17).
There were no neurological complications related to central neuraxial blockade in any of the patients reported.
The management of neuraxial blockade in the latter group is not problematic, provided the level of the defect (usually lower lumbar or sacral) is known and avoided during the block insertion (1).