Anil Gupta, Marc Van de Velde, Anders Magnuson, Christian von Heymann, Emilia Guasch, Seppo Alahuhta, Frédéric J Mercier, Alexandra M J V Schyns-van den Berg
BACKGROUND: Epidural blood patch is commonly used for management of post-dural puncture headache after accidental dural puncture. The primary aim was to determine factors associated with failed epidural blood patch. METHODS: In this prospective, multicentre, international cohort study, parturients ≥18 yr receiving an epidural blood patch for treatment of post-dural puncture headache were included. Failed epidural blood patch was defined as headache intensity numeric rating scale (NRS) score ≥7 in the upright position at 4, 24, or 48 h, or the need for a second epidural blood patch, and complete success by NRS=0 at 0-48 h after epidural blood patch...
November 2022: British Journal of Anaesthesia