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Considering that the epidural blood patch is a technique that generates fear in our patients and whose use is not completely harmless, I consider that the time has come to pave the way for methods that have proved to be useful in the management of other types of headaches and are showing preliminarily value in the difficult scenario of obstetric analgesia/anesthesia.
Epidural blood patch was conducted by experienced staff anesthesiologists, using strict as eptic technique, on a patient in a sitting position with the legs dependent as it is easier to perform and takes less procedural time in sitting position.
If symptoms persist after 24 hours of bed-rest, the use of an epidural blood patch (EBP) should be considered.
Caudal epidural blood patch for the treatment of postdural puncture headache.
The patients were offered epidural blood patch, but none of the patients agreed for that.
Seven patients with spontaneous intracranial hypotension were treated conservatively: of these, four responded to drug treatment and three underwent a lumbar autologous epidural blood patch (EBP).
Furthermore, there was an insignificant trend toward a reduced need for the therapeutic epidural blood patch in the blood patch group, with 9 patients in the blood patch group receiving a therapeutic patch compared with 14 in the sham injection group, Dr.