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CSF leakage during anesthesia can be treated with an epidural blood patch.
A spinal procedure called epidural anesthesia involves injecting an anesthetic into the epidural space. The lower abdomen, pelvis, perineum and lower leg procedures use this anesthetic.
A nerve and motor block below the injection site is given under general anesthesia.
When a needle accidentally enters the subarachnoid region and breaks the arachnoid membrane, cerebrospinal fluid (CSF) leaks. High blood pressure and back pain are the result of this. An epidural blood patch can be used to treat this CSF leak during anesthesia. In this instance, the leak in the membranes of the brain is closed by injecting the patient's blood into the epidural area.
CSF leakage during anesthesia can be treated with an epidural blood patch.
An epidural blood patch (EBP) is a procedure in which a small volume of autologous blood is injected into the patient's epidural space to stop the leakage of cerebrospinal fluid (CSF). It is thought that this finger of the CSF will reduce the pressure of the CSF, especially when the patient is upright, allowing to increase the blood flow through vasodilation causing the characteristic post dural headache (PDPH or "spinal headache "). This work examines the indications, contraindications, and complications of the epidural blood patch and shows the role of the professional team in the management of patients with headache after dural puncture.
Objectives:
Explain how an epidural blood patch works.
Review the symptoms of an epidural patch.
A summary of the technique of administering an epidural blood patch.
Describe the importance of improving care coordination between members of the professional team to improve outcomes for patients with post-dural puncture headaches.
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