Accidental dural puncture during epidural blood patch: a narrative review
Authors' conclusion
Immediately re-attempting an EBP at a different level may be a reasonable management approach which has high efficacy, and is without clear evidence of significant harm.
Study context
- Population
- Patients undergoing epidural blood patch (EBP) for post dural-puncture headache after accidental or intentional dural puncture
- Outcome
- ADP during EBP
Main finding
As reported in the abstract
Estimated incidence of accidental dural puncture (ADP) during EBP
0.5-1%
Estimated occurrences per year in the UK
20-30
Further findings
Documented cases in a recent review
- Documented cases of ADP during EBP
- 3
- Commonly quoted risk
- 1%
Original publication
Accidental dural puncture during epidural blood patch: a narrative review. Int J Obstet Anesth. Published 29 May 2023. doi:10. 1016/ j. ijoa. 2023. 103900
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