Abstract

 

Epidural analgesia is a common method of pain relief during labour and delivery . Furthermore a combination of spinal and epidural technique is still a reasonable choice for use in patients treated with orthopedic surgeries as total hip and knee replacements. Prophylactic measures have been attempted after accidental dural puncture with an epidural needle because of the high risk of developing post-dural puncture headache (PDPH). Conservative managment usually includes hydration with iv or oral fluids and analgesic medication.

Many reports have suggested that leaving the catheter in the dural hole for several hours may decrease the incidence of PDPH. In that case report ; after unintentional dural puncture, inserting the catheter through the dural tear, maintaining intrathecal analgesia  and leaving the catheter in place for 20 hours presented.

Key Words: Post-Dural Puncture Headache, İntentional Dural Puncture, Epidural Needle, İntrathecal Catheter