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Ann Fr Anesth Reanim · Nov 2010
Case Reports[Obstetrical epidural analgesia during labour: one dural puncture, repeated postural headaches, three blood patches…].
- T Villevieille, P Pasquier, V Muller, J-M Rousseau, C Le Marec, D Benhamou, and Service SOS-ALR.
- Fédération d'anesthésie-réanimation, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94163 Saint-Mandé cedex, France. t-ville@orange.fr
- Ann Fr Anesth Reanim. 2010 Nov 1;29(11):803-6.
AbstractWe report the case of a patient in whom three blood patches had to be performed to treat a post-dural puncture headache following the insertion of an epidural catheter for labour analgesia. There are few data about repeated blood patches used to treat recurring symptoms after failure of a previous blood patch. The technical guidelines used to perform a first blood patch should be followed for the next procedure as well. The role of the cerebrospinal fluid leaking in the symptoms has to be verified, to avoid performing a useless blood patch and to miss another cause, which needs an urgent treatment.Copyright © 2010 Elsevier Masson SAS. All rights reserved.
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