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Background The purpose of this study was to determine whether neuraxial analgesic procedures affect intraoperative hemodynamics and/or postoperative outcomes. Previous studies have examined effects in small samples of patients in highly controlled research environments. This study examined "real-world" data from a large sample of subjects receiving routine clinical cares. Methods A matched case-control analysis of electronic medical records from a large, academic hospital was performed. Patients who underwent neuraxial procedures preopera