Spinal Anesthetics Causing Adverse Effects in Therapeutic Use
Conditions
Keywords
Accidental dural puncture, Epidural blood patch, Intrathecal catheter, Postdural puncture headache, Epidural anesthesia, Obstetrics
Brief summary
Accidental dural puncture is an uncommon complication of epidural analgesia and can cause postdural puncture headache.
Detailed description
The aim of this study the effectiveness of a protocol implemented in our department, according to the recommendations of good practice, on the reduction of the use of blood patchs in patients who have had an accidental dural puncture during the implementation of their spinal anesthesia, in order to prevent the use of the blood patch. In addition, intensity of headaches is evaluated.
Interventions
OTHERcollection of data from the medical record
collection of data from the medical record: 1. During epidural space puncture = cerebrospinal fluid (CSF) reflux, presence of glucose / strip, saline injection, intrathecal catheter insertion, intrathecal levobupivacaine and sufentanil injection, catheter insertion time, number of punctures, function of the person performing the procedure. 2. Analgesia and hemodynamics during labor, blood pressure, pulse rate, amount of local anesthetic used, whether emergency cesarean section was performed 3. Demographic data (age, weight, height, body mass index (BMI)) 4. Post-partum monitoring of decubitus or orthostatic headaches, intensity, any other associated clinical signs 5. Analgesics used and their efficacy 6. The use of one or more blood patches, with the volume injected and their efficacy 7. Identification of the breach during epidural analgesia or after delivery 8. Call the patient at 1 week to reassess the episode and its consequences.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients having an accidental dural puncture during the installation of an epidural anesthesia
Exclusion criteria
* Patients without accidental dural puncture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of epidural blood patch | Day: 7 | Collect from medical records. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| headache intensity | Day: 7 | Collect from medical records. |
| Timeframe for blood patching | Day: 0 | Collect from medical records the Timeframe for blood patching |
| Number of blood patches required | Day: 7 | Collect from medical records. |
| Safety of the technique by number of adverse event | Day: 7 | Collect from medical record the adverse event (complications). |
Countries
France
Outcome results
None listed