Regional anesthesia and pain medicine
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Reg Anesth Pain Med
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Reg Anesth Pain Med · Mar 2016
Accidental Dural Puncture Management: 10-Year Experience at an Academic Tertiary Care Center.
The use of spinal catheters for extended periods after accidental dural puncture (ADP) and administration of intrathecal saline via spinal catheters have been advocated to decrease the incidence of postdural puncture headache and the subsequent need for epidural blood patch (EBP), with mixed results observed. ⋯ Insertion of spinal catheters after ADP and administration of intrathecal normal saline via spinal catheters reduce the need for EBP compared with resiting the epidural. Administration of the standard epidural test dose intrathecally is associated with frequent and significant complications.