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49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

March 21-23, 2024 | The Hilton Bayfront San Diego | San Diego, California

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5083

TREATMENT AND PREVENTION OF POST-DURAL PUNCTURE HEADACHE IN THE LABORING PATIENT

Part of Topic

Medically Challenging Cases

Treatment and Prevention of Post-Dural Puncture Headache in the Laboring Patient

Pasha Rahbari, MD1; Danielle McCullough, MD1    

1New York Presbyterian-Weill Cornell Medicine Department of Anesthesiology, New York, NY USA

Introduction

  • Epidurals have a wide array of analgesic benefit

  • Possible complications include block failure, hypotension and accidental dural puncture (ADP)1

  • Incidence of ADP is approximately 1.5% with approximately half leading to post-dural puncture headache (PDPH)2

  • Epidural blood patch is the gold standard treatment for PDPH2

Case Report
 
A 38 year old G2P0101 woman with prior medical history significant for cervical insufficiency status post cerclage placement at 13 weeks gestation,  presented for neuraxial anesthesia prior to cerclage removal and induction of labor.

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