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Accidental dural puncture: combination of prophylactic methods to avoid post-dural puncture headache
J Gobin1, L Lonjaret1, A Pailhas2
1Département d'anesthésie et réanimation, CHU de Toulouse, université Paul Sabatier, hôpital Purpan, place du Dr-Baylac, 31059 Toulouse cedex 9, France.
Annales Francaises D'Anesthesie Et De Reanimation
|May 14, 2014
Summary
Accidental dural puncture can cause severe headaches. A novel approach combining an intrathecal catheter and a prophylactic epidural blood patch effectively prevented post-dural puncture headache in an obstetric patient.
Area of Science:
- Anesthesiology
- Obstetrics
- Neurosurgery
Background:
- Accidental dural puncture (ADP) during epidural catheterization is a frequent complication.
- Post-dural puncture headache (PDPH) is a common sequela, particularly in obstetric patients.
- Epidural blood patch (BP) is the gold standard treatment for PDPH, and prophylactic BP can be effective but sometimes insufficient.
Keywords:
Accidental dural punctureBlood patchBrèche durale accidentelleCathéter intrathécalCéphalées post-brèche duraleEpidural blood patchIntrathecal catheterPost-dural puncture headacheMore Related Videos
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