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document
Prophylactic vs therapeutic blood patch for obstetric patients with accidental dural puncture -- a randomised controlled trial . Epidural blood patch is a standard treatment for obstetric patients experiencing a severe post-dural puncture headache . Patients who sustained an accidental dural puncture during establishment of epidural analgesia during labour or at caesarean delivery were randomly assigned to receive a prophylactic epidural blood patch or conservative treatment with a therapeutic epidural blood patch if required . Eleven of 60 ( 18.3 % ) patients in the prophylactic epidural blood patch group developed a post-dural puncture headache compared with 39 of 49 ( 79.6 % ) in the therapeutic epidural blood patch group ( p < 0.0001 ) . A blood patch was performed in 36 ( 73.4 % ) of patients in the therapeutic group . The number of patients who needed a second blood patch did not differ significantly between the two groups : 6 ( 10.0 % ) for prophylactic epidural blood patch and 4 ( 11.1 % ) for therapeutic epidural blood patch . We conclude that prophylactic epidural blood patch is an effective method to reduce the development of post-dural puncture headache in obstetric patients .
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Intervention_Physical
Epidural blood patch
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Intervention_Physical
prophylactic epidural blood patch
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Intervention_Physical
prophylactic epidural blood
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Outcome_Adverse-effects
post-dural puncture headache
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Outcome_Other
number of patients who needed a second blood patch
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Outcome_Other
effective
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Participant_Condition
obstetric patients with accidental dural puncture --
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Participant_Condition
obstetric patients experiencing a severe post-dural puncture headache .
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Participant_Condition
accidental dural puncture during establishment of epidural analgesia during labour or at caesarean delivery
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Participant_Sample-size
Eleven
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Participant_Sample-size
60
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Participant_Sample-size
39
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Participant_Sample-size
49
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Participant_Condition
obstetric patients