Experience of epidural blood patch for post-dural puncture headache.
Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dural puncture headache was observed in 145 patients receiving spinal anesthesia and 14 patients receiving epidural anesthesia. Volume of autologous blood for epidural blood patch ranged from 10 to 20 ml. Effective rate was 98.15% upon single blood patch. Repeated blood patch was done in 3 cases. No complication was noted.
Department of Anesthesiology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
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YW
Wu
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Hui
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Tan
D000293:Adolescent; D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D017217:Blood Patch, Epidural; D004388:Dura Mater; D005260:Female; D006261:Headache / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects