Considering that the epidural blood patch
is a technique that generates fear in our patients and whose use is not completely harmless, I consider that the time has come to pave the way for methods that have proved to be useful in the management of other types of headaches and are showing preliminarily value in the difficult scenario of obstetric analgesia/anesthesia.
Epidural blood patch
was conducted by experienced staff anesthesiologists, using strict as eptic technique, on a patient in a sitting position with the legs dependent as it is easier to perform and takes less procedural time in sitting position.
If symptoms persist after 24 hours of bed-rest, the use of an epidural blood patch
(EBP) should be considered.
A purely conservative approach to management consists of bed rest, oral hydration, generous caffeine intake and steroid therapy, but autologous epidural blood patch
(EBP) has emerged as the most important non-surgical management (6-8).
Autologous blood patch
in persistent air leaks after pulmonary resection.
Recurrent postpartum seizures after epidural blood patch
Although 20 mL is the most commonly used volume for therapeutic epidural blood patch
(EBP), some experts have advocated using smaller or larger volumes.
Epidural blood patch
(EBP) is frequently employed to treat PDPH (1).
Bu konuya dikkat ceken ve postoperatif uzamis hava kacagi nedeniyle otolog blood patch
ile hizli ve etkili bir tedavi saglayan bazi calismacilar yontemin basarisini bildirmislerdir [4-7,9].
The patient received a standard epidural blood patch
, and his headache resolved immediately.
Give intravenous fluids and analgesia, and consider administering a blood patch
Autologous epidural blood patch
is used to treat the CSF leak, even when MRI has not located the exact site of the leak.
For an epidural blood patch
, 10-20 mL of autologous blood is injected into the epidural space.
The spinal tap generally does not help in diagnosing migraine, however, and may actually cause a post-lumbar puncture headache, which can be severe and require a blood patch
Severe PDPH was defined as a headache that resulted in the patients being unable to perform his or her daily activities or being confined to bed and requiring oral or IV analgesic and/or epidural blood patch