5 doctors weighed in:
Waht are the complications of an inadvertent dural puncture with epidural anesthesia?
5 doctors weighed in

Dr. Boris Aronzon
Anesthesiology
1 doctor agrees
In brief: Level?
Most frequent complication is spinal headache which can be treated with epidural blood patch.
If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off.

In brief: Level?
Most frequent complication is spinal headache which can be treated with epidural blood patch.
If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off.
Dr. Boris Aronzon
Dr. Boris Aronzon
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Dr. Romanth Waghmarae
Pain Management
1 doctor agrees
In brief: Dural puncture
Most commonly is dural puncture headache requiring an epidural blood patch.
Spinal anesthetic may result if the catheter is still used and local anesthesia is given.

In brief: Dural puncture
Most commonly is dural puncture headache requiring an epidural blood patch.
Spinal anesthetic may result if the catheter is still used and local anesthesia is given.
Dr. Romanth Waghmarae
Dr. Romanth Waghmarae
Thank
Dr. Richard Pollard
Anesthesiology
In brief: Headache
The most concerning complication after an inadvertent dural puncture is a postural headache.
That is a headache that gets worse when you sit or stand, but is improved when you lie down. It is a self-loimiting problem that usually clears with in a week. However, it can be miserable for the patient. Your anesthesiologist can treat this.

In brief: Headache
The most concerning complication after an inadvertent dural puncture is a postural headache.
That is a headache that gets worse when you sit or stand, but is improved when you lie down. It is a self-loimiting problem that usually clears with in a week. However, it can be miserable for the patient. Your anesthesiologist can treat this.
Dr. Richard Pollard
Dr. Richard Pollard
Thank
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