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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Advantages and disadvantages of management options after unintentional dural puncture during attempted epidural anesthesia

Advantages and disadvantages of management options after unintentional dural puncture during attempted epidural anesthesia
Option Advantages Disadvantages
Continuous spinal analgesia
  1. Avoid risk of second dural puncture
  2. Reliable continuous anesthesia
  3. Possible decreased risk of PDPH
  1. Risk of total spinal if an "epidural" dose is inadvertently injected into the catheter
  2. Possible increased risk of infection
Place/replace catheter at different interspace
  1. May use for a prophylactic blood patch
  2. Higher margin of safety relative to local anesthetic injection
  1. Risk of second dural puncture
  2. Risk of high spinal anesthesia with epidural bolus injection of local anesthetic
PDPH: post dural puncture headache.
Reproduced with permission from: Yilmax M, Wong CA. Technique of neuraxial anesthesia. In: Spinal and epidural anesthesia, Wong C (Ed), McGraw-Hill Education 2007. Copyright © 2017 McGraw-Hill Education. McGraw-Hill Education makes no representations or warranties as to the accuracy of any information contained in the McGraw-Hill Education Material, including any warranties of merchantability or fitness for a particular purpose. In no event shall McGraw-Hill Education have any liability to any party for special, incidental, tort, or consequential damages arising out of or in connection with the McGraw-Hill Education Material, even if McGraw-Hill Education has been advised of the possibility of such damages.
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