Subarachnoid spread of epidural local anaesthetic following dural puncture
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چکیده
منابع مشابه
Trigeminal nerve blockade, following inadvertent dural puncture--was there a connection?
To the Editor: The insertion of an epidural for pain relief in labour was complicated by a dural puncture. During the subsequent infusion the patient complained of numbness over her face. There was no accompanying tinnitus or circumoral numbness and pulse and blood pressure remained within normal limits. On examination an area of numbness, to pain and cold, was confined to the bilateral distrib...
متن کاملExperience of epidural blood patch for post-dural puncture headache.
Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dura...
متن کاملبیحسی کامل نخاعی در بیمار مبتلا به آکندروپلازی: گزارش موردی
Background: Total spinal anesthesia is a complication of lumbar epidural anesthesia following undiagnosed subarachnoid or subdural injection of local anesthetic. Although many achondroplastic dwarfs have a normal spine, catheter insertion may be more problematic with a narrow epidural space making a subarachnoid tap more probable. Other malformations associated with achondroplasia, such as pro...
متن کاملCerebral venous sinus thrombosis following accidental dural puncture and epidural blood patch.
We report the case of a woman who developed cerebral venous sinus thrombosis after an attempted epidural. The epidural was complicated by an accidental dural puncture and the ensuing headache was initially treated with an epidural blood patch. Cerebral venous sinus thrombosis is an uncommon condition with varying aetiology and risk factors. We discuss the importance of the differential diagnosi...
متن کاملEfficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture.
BACKGROUND Postdural puncture headache (PDPH) occurs in up to 80% of parturients who experience inadvertent dural puncture during epidural catheter placement. The authors performed a randomized double blind study to assess the effect of prophylactic epidural blood patch on the incidence of PDPH and the need for therapeutic epidural blood patch. METHODS Sixty-four parturients who incurred inad...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 1988
ISSN: 0003-2409,1365-2044
DOI: 10.1111/j.1365-2044.1988.tb04155.x