Open AccessCaudal Epidural Blood Patch for Treating Intractable Vomiting in a Child After Placement of a Permanent Intrathecal Catheter
Author(s) -
Berklee Robins,
David P. Boggs
Publication year - 2001
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1097/00000539-200105000-00017
Subject(s) - medicine , epidural blood patch , intrathecal , anesthesia , vomiting , catheter , surgery , complication
Postdural puncture cerebral spinal fluid (CSF) leak most often manifests as a postdural puncture headache (PDPH). The reported frequency in young children varies (1-4). Persistent CSF leak may also be present without PDPH. We present a case of postoperative nausea and vomiting resulting from a presumed lumbar CSF leak in a nonverbal child after surgical placement of a permanent intrathecal catheter. Treatment with an epidural blood patch (EBP) via the caudal approach resulted in complete relief of symptoms.