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Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report

Nan Liu1, Yue Fei2, Fei-Fang He2

  • 1Department of Anesthesiology, Hangzhou Xiasha Hospital, Zhejiang, People's Republic of China.

Journal of Neurological Surgery Reports
|December 8, 2021
PubMed

Keywords:
burr hole drainagechronic subdural hematomaepidural blood patchspontaneous intracranial hypotension

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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