Successful Neuraxial Analgesia After Recent Epidural Blood Patch.
Epidural blood patch is a frequently successful treatment for postdural puncture headache. It is not clear whether a recent epidural blood patch affects subsequent neuraxial analgesia. We describe the case of a patient who received an epidural blood patch for postdural puncture headache and returned 3 days later in active labor, requesting epidural analgesia. The patient successfully received analgesia from a combined spinal epidural without further complications. We discuss the anesthetic considerations for providing neuraxial analgesia after a recent epidural blood patch.
From the Department of Anesthesiology, Rutgers-New Jersey Medical School, Newark, New Jersey.
Trevor A
TA
Whitwell
Dongchen
D
Li
Vanny
V
Le
Antonio J
AJ
Gonzalez-Fiol
D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D017217:Blood Patch, Epidural / Q000379:methods*; D005260:Female; D006801:Humans; D051299:Post-Dural Puncture Headache / Q000628:therapy*; D011247:Pregnancy; D016896:Treatment Outcome