• Anesthesia and analgesia · May 2001

    Case Reports

    Caudal epidural blood patch for treating intractable vomiting in a child after placement of a permanent intrathecal catheter.

    • B Robins and D P Boggs.
    • Department of Anesthesiology, Doernbecher Children's Hospital, Oregon Health Sciences University, Portland, OR 97201, USA. robinsb@ohsu.edu
    • Anesth. Analg. 2001 May 1;92(5):1169-70.

    AbstractPostdural puncture cerebral spinal fluid (CSF) leak most often manifests as a postdural puncture headache (PDPH). The reported frequency in young children varies (1-4). Persistent CSF leak may also be present without PDPH. We present a case of postoperative nausea and vomiting resulting from a presumed lumbar CSF leak in a nonverbal child after surgical placement of a permanent intrathecal catheter. Treatment with an epidural blood patch (EBP) via the caudal approach resulted in complete relief of symptoms.

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