Summary
Of 86 patients in whom accidental puncture of the dura occurred during insertion of a needle for induction of epidural analgesia for labour and delivery, 11 received a prophylactic blood patch at the completion of delivery. Of the 75 patients with no prophylactic blood patch, 59 per cent developed post-lumbar-puncture headache, while 54 per cent of those who had a prophylactic blood patch developed headache. The prophylactic blood patch appears to have no value in preventing post-lumbar-puncture headache in this small group of patients.
Résumé
Ľ’injection dans ľespace péridural de sang autologue avant le retrait du cathéter contribuet-il à diminuer ľincidence de céphalées lorsqu’il y a eu perforation accidentelle de la dure-mère au coursďanesthésie péridurale? Cette mesure a été utilisée 11 fois chez 86 parturientes ayant subi une telle perforation au cours ďune anesthésie péridurale effectuée durant le travail.
Cinquante-quatre pour cent de ces 11 malades ont présenté des céphalées posturales. Cinquante-neuf pour cent des 75 autres malades ont connu la même complication. Cette technique paraît donc sans valeur préventive.
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Palahniuk, R.J., Cumming, M. Prophylactic blood patch does not prevent post lumbar puncture headache. Canad. Anaesth. Soc. J. 26, 132–133 (1979). https://doi.org/10.1007/BF03013783
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DOI: https://doi.org/10.1007/BF03013783