• A & A case reports · Aug 2015

    Case Reports

    Successful Neuraxial Analgesia After Recent Epidural Blood Patch.

    • Trevor A Whitwell, Dongchen Li, Vanny Le, and Antonio J Gonzalez-Fiol.
    • From the Department of Anesthesiology, Rutgers-New Jersey Medical School, Newark, New Jersey.
    • A A Case Rep. 2015 Aug 15;5(4):51-3.

    AbstractEpidural 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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