An observational study in Spinal Anesthetics Causing Adverse Effects in Therapeutic Use, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-18.
Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Observational
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.
Centre Hospitalier Universitaire de Saint Etienne is the lead sponsor of 578 studies on the registry; 128 are open to participants now.
Counted across the registry records on this site, refreshed daily.
patients having an accidental dural puncture during the installation of an epidural anesthesia will be included.
Exclusion Criteria:
patients having an accidental dural puncture during the installation of an epidural anesthesia will be included. Analysis datas of medical record.
Other: collection 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.
Number of epidural blood patch
Collect from medical records.
Time frame: Day: 7
headache intensity
Collect from medical records.
Time frame: Day: 7
Timeframe for blood patching
Collect from medical records the Timeframe for blood patching
Time frame: Day: 0
Number of blood patches required
Collect from medical records.
Time frame: Day: 7
Safety of the technique by number of adverse event
Collect from medical record the adverse event (complications).
Time frame: Day: 7
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.
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Centre Hospitalier Universitaire de Saint Etienne