Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Nov 2015
Case ReportsSpinal Anesthesia in a Patient With a History of Systemic Capillary Leak Syndrome (Clarkson Disease).
The aim of this study was to review the relative risks, benefits, and anesthetic considerations of neuraxial, regional, and general anesthesia in a patient with known systemic capillary leak syndrome (SCLS) who presents for elective total knee replacement. ⋯ Spinal anesthesia constitutes a viable option for a patient with a history of SCLS in sustained remission. It remains unclear whether general or neuraxial anesthesia confers the best risk-to-benefit ratio for such patients.