AN ALTERNATIVE MANAGEMENT PROCEDURE AFTER INADVERTENT DURAL PUNCTURE
F.KARACA
1, M.AKSOY
2, V.FİDAN
3, KT.SARAÇOĞLU
4, A.SARAÇOĞLU
4
BÖLGE EĞİTİM ARAŞTIRMA HASTANESİ ANESTEZİYOLOJİ VE REANİMASYON AD 1
BÖLGE EĞİTİM ARAŞTIRMA HASTANESİ ANESTEZİYOLOJİ VE REANİMASYON AD ERZURUM 2
BÖLGE EĞİTİM ARAŞTIRMA HASTANESİ KULAK BURUN BOĞAZ AD ERZURUM 3
MARMARA ÜNİVERSİESİ TIP FAKÜLTESİ ANESTEZİYOLOJİ VE REANİMASYON AD 4
Accidentally dural puncture during the application of epidural blockade is a rare complication. There are some traditional treatment methods for anesthesia management of this complication. As postdural puncture headache (PDPH) is the most frequent complication of dural puncture, a wisely management method will also reduce the incidence of PDPH.
Five of 182 patients who had inadvertent dural puncture during the epidural procedure before the hip or knee arthroplasty surgery were included to this case series report. After dural puncture we drew back the epidural needle and placed an epidural catheter into the epidural space.
Epidural anesthesia and postoperative epidural analgesia have been provided successfully in all cases. We also prevented the PDPH in the rate of 80%.
This case study demonstrates the effectiveness of management skills after inadvertent dural punctures in the light of two years clinical experience.
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