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A Safe Method for Performing an Epidural Blood Patch in a Pediatric Patient Requiring Deep Sedation for Epidural Catheter Placement: A Case Report

Heine, Christopher L. MD; Furse, Cory M. MD

doi: 10.1213/XAA.0000000000001086
Case Reports
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A 17-year-old boy developed postdural puncture headache after several lumbar punctures (LPs) for intrathecal chemotherapy. The pediatric anesthesiology service was consulted for an epidural blood patch (EBP). Sedation was required for the LPs, which made performing an EBP problematic because of the need for the patient to be conscious and able to report symptoms during injection of blood. An epidural catheter was placed after the next LP while the patient was sedated. After he woke up, blood was injected through the catheter and the headache resolved. This technique can be used in pediatric patients requiring deep sedation for an EBP.

From the Department of Anesthesia and Perioperative Medicine, Division of Pediatric Anesthesia, Medical University of South Carolina, Charleston, South Carolina.

Accepted for publication July 31, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Christopher L. Heine, MD, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 167 Ashley Ave, Suite 301, Charleston, SC 29425. Address e-mail to heinec@musc.edu.

Copyright © 2019 International Anesthesia Research Society
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