Accidental dural puncture is an uncommon complication of epidural analgesia and can cause postdural puncture headache.
The aim of this study the effectiveness of a protocol implemented in our department, according to the recommendations of good practice, on the reduction of the use of blood patchs in patients who have had an accidental dural puncture during the implementation of their spinal anesthesia, in order to prevent the use of the blood patch. In addition, intensity of headaches is evaluated.
Study Type
OBSERVATIONAL
Enrollment
39
collection of data from the medical record: 1. During epidural space puncture = cerebrospinal fluid (CSF) reflux, presence of glucose / strip, saline injection, intrathecal catheter insertion, intrathecal levobupivacaine and sufentanil injection, catheter insertion time, number of punctures, function of the person performing the procedure. 2. Analgesia and hemodynamics during labor, blood pressure, pulse rate, amount of local anesthetic used, whether emergency cesarean section was performed 3. Demographic data (age, weight, height, body mass index (BMI)) 4. Post-partum monitoring of decubitus or orthostatic headaches, intensity, any other associated clinical signs 5. Analgesics used and their efficacy 6. The use of one or more blood patches, with the volume injected and their efficacy 7. Identification of the breach during epidural analgesia or after delivery 8. Call the patient at 1 week to reassess the episode and its consequences.
CHU Saint-Etienne
Saint-Etienne, France
Number of epidural blood patch
Collect from medical records.
Time frame: Day: 7
headache intensity
Collect from medical records.
Time frame: Day: 7
Timeframe for blood patching
Collect from medical records the Timeframe for blood patching
Time frame: Day: 0
Number of blood patches required
Collect from medical records.
Time frame: Day: 7
Safety of the technique by number of adverse event
Collect from medical record the adverse event (complications).
Time frame: Day: 7
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.