What is it about?
Epidural anesthesia at the site of ADP was as safe as at a level above or below. Moreover, it was easier and less time consuming, with less incidence of backache
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Why is it important?
It is our recommendation that a local anesthetic test dose should be administered before the injection of a larger bolus of epidural anesthetic solution. This and constant monitoring by the anesthesiologist are the most effective recommended safety measures when reattempting epidural anesthesia at the same level as that of ADP.
Perspectives
The limitations of our study were the relatively small number of cases studied (because of limited cases available) and that this was a was a single-center study. Thus, further multicenter studies need to be carried out.
Dr Hanaa Abd Allah El Gendy
Ain Shams University
Read the Original
This page is a summary of: Epidural injection at or around the level of accidental dural puncture: Does it make a difference?, Ain-Shams Journal of Anaesthesiology, January 2014, Medknow,
DOI: 10.4103/1687-7934.133437.
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