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Canadian Journal of Anesthesia, Vol 26, 132-133, Copyright © 1979 by Canadian Anesthesiologists' Society

Prophylactic Blood Patch does not Prevent Post Lumbar Puncture Headache

RICHARD J. PALAHNIUK 1 and MAUREEN CUMMING 2

1 University of Manitoba; Health Sciences Centre
2 The Departments of Anaesthesia and Obstetrics and Gynaecology, University of Manitoba Health Sciences Centre, Winnipeg, Manitoba, Canada. R3E 0Z3

Of 86 patients in whom accidental puncture of the dura occurred during insertion of a needle for induction of epidural analgesia for labour and delivery, 11 received a prophylactic blood patch at the completion of delivery. Of the 75 patients with no prophylactic blood patch, 59 per cent developed post-lumbar-puncture headache, while 54 per cent of those who had a prophylactic blood patch developed headache. The prophylactic blood patch appears to have no value in preventing post-lumbar-puncture headache in this small group of patients.






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Copyright © 1979 by the Canadian Anesthesiologists' Society.