Intrathecal catheter placement after inadvertent dural puncture in the obstetric population: management for labour and operative delivery. Guidelines from the Obstetric Anaesthetists' Association
Methodological detailsmodified Delphi approach, expert working party, structured narrative review, US Preventive Services Task Force grading, 296 articles identified; 111 full text papers of relevance, 17 statements and 26 recommendations agreed; generally low or moderate level of certainty
- Modified Delphi approach
- Expert working party
- Structured narrative review
- US Preventive Services Task Force grading
- 296 articles identified; 111 full text papers of relevance
- 17 statements and 26 recommendations agreed; generally low or moderate level of certainty
Recommendations
As issued by the authors
With careful management, intrathecal catheters can provide excellent labour analgesia and may be topped-up for caesarean or operative vaginal delivery
Intrathecal catheters carry the risk of significant drug errors, which may result in high- or total-spinal anaesthesia or cardiorespiratory arrest
All labour wards should have clear guidelines on the use of these catheters, and staff should be educated as to their potential complications
Original publication
Intrathecal catheter placement after inadvertent dural puncture in the obstetric population: management for labour and operative delivery. Guidelines from the Obstetric Anaesthetists' Association. Anaesthesia. Published 27 September 2024. doi:10.
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