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Updated: Apr 5, 2026

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
Successful Neuraxial Analgesia After Recent Epidural Blood Patch
Trevor A Whitwell1, Dongchen Li, Vanny Le
1From the Department of Anesthesiology, Rutgers-New Jersey Medical School, Newark, New Jersey.
Abstract:
Epidural blood patch is a frequently successful treatment for postdural puncture headache. It is not clear whether a recent epidural blood patch affects subsequent neuraxial analgesia. We describe the case of a patient who received an epidural blood patch for postdural puncture headache and returned 3 days later in active labor, requesting epidural analgesia. The patient successfully received analgesia from a combined spinal epidural without further complications. We discuss the anesthetic considerations for providing neuraxial analgesia after a recent epidural blood patch.
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