International journal of critical illness and injury science
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Int J Crit Illn Inj Sci · Apr 2015
A new approach using high volume blood patch for prevention of post-dural puncture headache following intrathecal catheter pump exchange.
In an observational study, complications of intrathecal catheter pumps necessitating surgical exchange were analyzed. Also the use of a high-volume prophylactic epidural blood patch (EBP) during surgery for preventing post-dural puncture headache (PDPH) with a follow-up for 1 year is described. ⋯ A new approach using a high-volume prophylactic EBP for preventing PDPH following catheter exchange is presented. The efficacy and safety of this technique for 1 year follow-up have been evaluated and was found to be safe and potentially effective.