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- E J Williams, P Beaulieu, W J Fawcett, and J G Jenkins.
- Department of Anaesthesia, Royal Surrey County Hospital, Egerton Road, Guildford GU2 5XX, UK. elisabeth.w@virgin.net
- Int J Obstet Anesth. 1999 Apr 1; 8 (2): 105-9.
AbstractA retrospective audit of obstetric epidurals was performed at Royal Surrey County Hospital. The aim was to determine the efficacy of epidural blood patch in the management of post-dural puncture headache following inadvertent dural puncture in the obstetric population, over a 5-year period between March 1993 and February 1998. During that time, there were 55 recognized dural punctures (overall incidence 0.96%). A total of 62 epidural blood patches were performed in 48 patients. Following treatment with one epidural blood patch, 33% of patients obtained complete and permanent relief, 50% partial relief and 12% no relief. Twenty-nine percent of patients required a second epidural blood patch of which 50% were completely successful, 36% were partially successful and 14% gave no relief.
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