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Int J Obstet Anesth · Apr 2013
Case ReportsEpidural injection of hydroxyethyl starch in the management of postdural puncture headache.
- O Vassal, M C Baud, F Bolandard, M Bonnin, E Vielle, J E Bazin, and D Chassard.
- Département Anesthésie-Réanimation, Hôpital Mère Enfant, Bron, France.
- Int J Obstet Anesth. 2013 Apr 1;22(2):153-5.
AbstractEpidural blood patch is the standard treatment for postdural puncture headache when symptomatic therapy is ineffective. We report the cases of two patients who received an epidural injection of hydroxyethyl starch when an epidural blood patch was contraindicated; one due to Streptococcus agalactiae bacteraemia and one due to acute leukaemia. Relief of headache was achieved in both patients with no adverse effects. The use of an epidural hydroxyethyl starch injection may be a suitable alternative for treatment of postdural puncture headache if epidural blood patch is contraindicated.Copyright © 2013 Elsevier Ltd. All rights reserved.
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