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Effect of Neuraxial Technique After Inadvertent Dural Puncture on Obstetric Outcomes and Anesthetic Complications

Jagannathan, D.K.; Arriaga, A.F.; Elterman, K.G.; Kodali, B.S.; Robinson, J.N.; Tsen, L.C.; Palanisamy, A.

doi: 10.1097/01.aoa.0000504751.80625.1c
Anesthesia and Analgesia: Regional Analgesia
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Commentary

(Int J Obstet Anesth. 2016;25:23–29)

Epidural analgesia is a popular technique for labor pain management. A relatively common complication of this procedure is inadvertent dural puncture (IDP), which will lead to postdural puncture headache (PDPH) in some patients. The objective of this current study was to evaluate whether there was a difference in labor outcomes when IDP was managed with insertion of an intrathecal catheter versus resiting of an epidural catheter. The authors hypothesized that patients who received an intrathecal catheter would be less likely to have a prolonged second stage of labor with no difference in cesarean delivery rate compare with patients who had another epidural catheter placed.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA

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