Increased intracranial pressure, such as the kind treated with CSF shunting, is a contraindication for regional anesthesia. The panel does recommend surgical site–specific peripheral regional anesthesia in patients undergoing numerous surgical procedures, including lower-extremity joint surgery, shoulder surgery, cesarean section, hemorrhoid surgery, circumcision, and thoracotomy.
For more on local and regional anesthesia, read here.
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Cite this: K. Gage Parr. Fast Five Quiz: Do You Know the Latest Postoperative Pain Management Guidelines? - Medscape - Mar 15, 2016.