Accidental dural puncture
• Inserting an intrathecal catheter does not decrease the incidence of PDPH but does decrease the need for #epidural blood patch.
• There is no benefit in leaving the catheter in for 24 h postpartum.
• In patients with an intrathecal catheter, injection of intrathecal saline decreases the incidence of #PDPH and the need for epidural blood patch.
@BinyaminYair
The complete Dr Alexandra Schyns- van den Berg #esraworld2023 #OBAnes lecture on management of #PDPH
Thread here: https://x.com/obsleepmerchant/status/1699357311695794190?s=46&t=Uo6hLQ3pZcc1WQ4jUQc80Q
@euklaas presenting on managing #PDPH in #OBAnes at #ESRAworld2023. Useful QR codes as always. Strong recommendation to read @Ropivacaine et al’s consensus guideline in @JAMANetwork. Many excellent contributors too: @robin_russell1 @KalagaraHari @LimGrapes @noolslucas…
Anaesthesia 
Dr Simon Ash