Abstract:
:A postal survey of all maternity units in the UK was conducted to gain information regarding the management of inadvertent dural taps occurring during the sitting of epidurals for pain relief in labour. Of the units surveyed only 58.5% had a written protocol for the management of dural taps. Following their occurrence, 99% of the units resited the epidural and in 22%, the midwives continued to give the top-ups. In only one-third of this latter group was the dose of the top-up reduced. In 46% of the units, patients who had a dural tap were allowed to push in the second stage of labour. As prophylaxis against the development of headache, 70% of the units infused crystalloids into the epidural space, whereas only 8.6% were in favour of an early prophylactic blood patch.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Sajjad T,Ryan TDdoi
10.1111/j.1365-2044.1995.tb15102.xsubject
Has Abstractpub_date
1995-02-01 00:00:00pages
156-61issue
2eissn
0003-2409issn
1365-2044journal_volume
50pub_type
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