Inadvertent Dural Puncture and Post Dural Puncture Headache CA4055v5


download Inadvertent Dural Puncture and Post Dural Puncture Headache CA4055v5


 The purpose of this guideline is to ensure good practice in the management of inadvertent dural puncture and its sequelae. This includes:

  1. Recognising that inadvertent dural puncture has occurred
  2. Subsequent safe management of epidural or spinal analgesia and anaesthesia
  3. Patient information and follow up
  4. Treatment of dural puncture headache
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Clinical Guidelines
This guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.