Author/Authors :
Saracoglu, Kemal Tolga Department of Anesthesiology and Reanimation - Central Education and Research Hospital, Erzurum, Turkey , Saracoglu, Ayten Department of Anesthesiology and Reanimation - Central Education and Research Hospital, Erzurum, Turkey , Karaca, Filiz Department of Anesthesiology and Reanimation - Central Education and Research Hospital, Erzurum, Turkey , Fidan, Vural Department of Ear - Nose and Throat - Central Education and Research Hospital - Erzurum, Turkey
Abstract :
BACKGROUND: Accidental dural puncture during epidural blockade is a rare complication. Since postdural puncture headache
(PDPH) is the most frequent complication, a wisely management method will also reduce the incidence of PDPH.
METHODS: Five patients who had inadvertent dural puncture during the epidural procedure before hip or knee arthroplasty
were included in this study. After dural puncture we drew back the epidural needle and placed an epidural catheter
into the epidural space.
RESULTS: Epidural anesthesia and postoperative epidural analgesia have been provided successfully in all cases. 20%
showed PDPH.
CONCLUSIONS: These results demonstrate the effectiveness of management skills after inadvertent dural punctures.
Keywords :
Anesthesia , Epidural , Analgesia , Post-Dural Puncture Headache , Arthroplasty , Replacement , Hip , Knee
