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Management Strategies for Unintentional Dural Puncture

A Canadian Experience Survey in an Academic Setting

Russell, S.

Obstetric Anesthesia Digest: March 2019 - Volume 39 - Issue 1 - p 48
doi: 10.1097/01.aoa.0000552923.66319.ef
Anesthesia and Analgesia: Regional Analgesia

(Can J Anesth. 2018;65:728–729)

Unintentional dural puncture (UDP) complicates epidural anesthesia from 0.5% to 4% of the time. The most common complication is the development of a postdural puncture headache (PDPH). In Winnipeg, Canada, a cross-sectional survey was conducted to learn about common practices for managing obstetrical UDP. The survey included questions regarding clinical experience in obstetrical anesthesia, epidural insertion technique, UDP management, and PDPH management.

Department of Anesthesia, Perioperative and Pain Medicine, St Boniface Hospital, Winnipeg, MB, Canada

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