Regional anesthesia

Accidental dural puncture during epidural blood patch: a narrative review

Int J Obstet AnesthPublished 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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