Regional anesthesia

Regional anaesthesia-related complications in Switzerland: Lessons learned from the national closed claims analysis over the past 30 years

Eur J AnaesthesiolPublished Retrospective analysis of a closed claims database

Authors' conclusion

The decline in claims may reflect advancements in anaesthetic techniques and safety practices.

Study context

Population
Closed malpractice claims involving RA in Switzerland, 1992–2022140 involved RA
Participants
244 participants
Outcome
Patient demographics, type of anaesthesia, complications, adherence to best practices and legal outcomes (liability acceptance, compensation amounts)
Methodological detailsSwiss Anaesthesiology Closed Claims Analysis database, 1992 to 2022
  • Swiss Anaesthesiology Closed Claims Analysis database
  • 1992 to 2022

Main finding

As reported in the abstract

Claims involving RA, first decade

69

49%

Claims involving RA, last decade

30

21%

Nerve damage, most common complication

76%

Liability accepted

43%

Observational data: associations, not effects.

Further findings

Complications by sex

Male patients tended to have higher rates of nerve injuries; female patients reported more nonspecific pain syndromes and posttraumatic stress disorders
Highest compensations seemed paid to male patients

Original publication

Regional anaesthesia-related complications in Switzerland: Lessons learned from the national closed claims analysis over the past 30 years. Eur J Anaesthesiol. Published 4 June 2025. doi:10.1097/eja.0000000000002220

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