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Accidental dural puncture is an uncommon complication of epidural analgesia and can cause postdural puncture headache.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients having an accidental dural puncture during the installation of an epidural anesthesia | patients having an accidental dural puncture during the installation of an epidural anesthesia will be included. Analysis datas of medical record. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| collection of data from the medical record | Other | collection of data from the medical record:
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of epidural blood patch | Collect from medical records. | Day: 7 |
| Measure | Description | Time Frame |
|---|---|---|
| headache intensity | Collect from medical records. | Day: 7 |
| Timeframe for blood patching | Collect from medical records the Timeframe for blood patching |
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Inclusion Criteria:
Exclusion Criteria:
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patients having an accidental dural puncture during the installation of an epidural anesthesia will be included.
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| Name | Affiliation | Role |
|---|---|---|
| Pascal MARTIN, MD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Saint-Etienne | Saint-Etienne | France |
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| ID | Term |
|---|---|
| D051299 | Post-Dural Puncture Headache |
| ID | Term |
|---|---|
| D051271 | Headache Disorders, Secondary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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|
| Day: 0 |
| Number of blood patches required | Collect from medical records. | Day: 7 |
| Safety of the technique by number of adverse event | Collect from medical record the adverse event (complications). | Day: 7 |
| D009422 | Nervous System Diseases |