title: An alternative management procedure after inadvertent dural puncture.
abstract: BACKGROUND
  Accidental dural puncture during epidural blockade is a rare complication. Since postdural puncture headache (PDPH) is the most frequent complication, a wisely management method will also reduce the incidence of PDPH.
  
  
  METHODS
  Five patients who had inadvertent dural puncture during the epidural procedure before hip or knee arthroplasty were included in this study. After dural puncture we drew back the epidural needle and placed an epidural catheter into the epidural space.
  
  
  RESULTS
  Epidural anesthesia and postoperative epidural analgesia have been provided successfully in all cases. 20% showed PDPH.
  
  
  CONCLUSIONS
  These results demonstrate the effectiveness of management skills after inadvertent dural punctures.
authors.affiliation: Department of Anesthesiology and Reanimation, Central Education and Research Hospital, Erzurum, Turkey.
authors.forename: Kemal Tolga
authors.initials: KT
authors.lastname: Saracoglu
authors.forename: Ayten
authors.initials: A
authors.lastname: Saracoglu
authors.forename: Filiz
authors.initials: F
authors.lastname: Karaca
authors.forename: Vural
authors.initials: V
authors.lastname: Fidan
references.citation: Headache. 2010 Jul;50(7):1144-52
references.pmid: 20533959
references.citation: Indian J Anaesth. 2009 Oct;53(5):543-53
references.pmid: 20640104
references.citation: Indian J Anaesth. 2009 Feb;53(1):30-4
references.pmid: 20640074
references.citation: Anesth Analg. 2008 May;106(5):1542-7, table of contents
references.pmid: 18420873
references.citation: Anesthesiology. 2010 Aug;113(2):279-84
references.pmid: 20657202
references.citation: Anesthesiology. 2010 May;112(5):1128-35
references.pmid: 20418693
references.citation: J Anesth. 2009;23(1):31-5
references.pmid: 19234819
references.citation: J Anesth. 2010 Feb;24(1):43-8
references.pmid: 20058033
references.citation: Int J Colorectal Dis. 2010 Jun;25(6):775-81
references.pmid: 20148254