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November 1, 1990Regional Anesthesia The Journal of Neural Blockade in Obstetrics Surgery & Pain Control

Continuous Spinal Anesthesia after Unintentional Dural Puncture in Parturients

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Why the study?

Does continuous spinal anesthesia after unintentional dural puncture reduce the incidence of headache in parturients?

Population

56 women requesting labor analgesia who suffered unintentional dural puncture during attempts to identify…

Comparison

Insertion of a 20-gauge polyamide catheter into… vs Lumbar epidural anesthesia without subarachnoid…

Design

Cohort

Follow-up

daily until discharge

Authors

MNMark C. NorrisBoston UniversityBLBarbara L. LeightonWashington University in St. Louis

Discussion

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Overview

Should not yet change practice for post-dural puncture headache; leaves open benefit in randomized parturient trials.

Structured PICO

Does continuous spinal anesthesia after unintentional dural puncture reduce the incidence of headache in parturients?

P
Population
56 women requesting labor analgesia who suffered unintentional dural puncture during attempts to identify the epidural space using an 18-gauge Hustead needle
I
Intervention
Insertion of a 20-gauge polyamide catheter into the CSF for continuous spinal anesthesia throughout labor and delivery
C
Comparator
Lumbar epidural anesthesia without subarachnoid catheter insertion
O
Outcome
Incidence of headachepatient reported

Continuous spinal anesthesia after unintentional dural puncture does not decrease the incidence of headache in parturients.

Cite This Study

Norris et al. (1990) studied this question.

synapsesocial.com/papers/6a712c38febe604dd709e2e4https://doi.org/10.1136/rapm-00115550-199015060-00003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intrathecal Catheter as a Secondary Prophylaxis of Postdural Puncture Headache1999
  2. 2Effect of Neuraxial Technique After Inadvertent Dural Puncture on Obstetric Outcomes and Anesthetic Complications2016 · 2 citations
  3. 3Accidental dural puncture and post dural puncture headache in obstetric anaesthesia: presentation and management: A 23‐year survey in a district general hospital2007 · 174 citations
  4. 4The Effect of Placement and Management of Intrathecal Catheters Following Accidental Dural Puncture on the Incidence of Postdural Puncture Headache and Severity: A Retrospective Real-World Study2024 · 2 citations
  5. 5Factors associated with an inadvertent dural puncture or post-dural puncture headache following labour epidural analgesia: A retrospective cohort study2024 · 7 citations