Author/Authors :
Saraçoğlu, Kemal Tolga Erzurum Bölge Eğitim ve Araştırma Hastanesi - Anesteziyoloji ve Reanimasyon Kliniği, Turkey , Saraçoğlu, Ayten Erzurum Bölge Eğitim ve Araştırma Hastanesi - Anesteziyoloji ve Reanimasyon Kliniği, Turkey , Çelik, Mine Atatürk Üniversitesi - Tıp Fakültesi - Hastanesi Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey
Title Of Article :
Anesthesia management after inadvertent dural puncture during application of epidural blockage
Abstract :
Accidentally dural puncture during the application of epidural blockage is a rare complication. There are some treatment methods in anesthesia management of this complication. Inserting the epidural needle to another intervertebral disc space, replacing subarachnoid catheter, injection of spinal anesthetic solution wherein epidural needle or implementing general anesthesia are some of the methods that physicians applicate.We report a cesarean delivery patient’s case in which we have composed an accidental dural puncture. We drew back the epidural needle till the level that no free cerebrospinal fluid (CSF) flow is seen. We confirmed this by injection aspiration technique. In this case, we revised the maneuvers of the anesthetist after unintentional dural puncture with protective and therapeutic methods of the most frequent complication postdural puncture headache (PDPH).
NaturalLanguageKeyword :
Epidural anesthesia , dural puncture , postdural headache , blood patch , complication
JournalTitle :
Dicle Medical Journal
