International journal of obstetric anesthesia
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Int J Obstet Anesth · Nov 2019
Case ReportsSuccessful treatment of a recurrent post-dural puncture headache with an epidural blood patch 18 months after the initial dural puncture.
Inadvertent dural puncture is a recognised complication of epidural insertion. Parturients are at increased risk of developing a post-dural puncture headache, which can be debilitating for a mother caring for a newborn infant. ⋯ We present the case of a woman with a recurrent post-dural puncture headache who was successfully treated with an epidural blood patch 18 months after the initial dural puncture. Patients who develop post-dural puncture headaches may remain symptomatic for some time and an epidural blood patch may be beneficial, following appropriate investigation.
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Int J Obstet Anesth · Nov 2019
Case ReportsSuccessful placement of an epidural catheter through a split skin graft after degloving injury of the lower back.
Degloving soft tissue injuries of the back are uncommon in women of child-bearing age. Treatment of such injuries may include split skin grafting of the affected area. ⋯ An epidural catheter was placed successfully through the skin graft. The considerations for performing an invasive procedure through a skin graft and the available evidence are discussed.