A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center
Obstetric anesthesia-related complications occur as a result of labor epidural or spinal placement. The purpose of this continuous quality-improvement audit was to review the occurrence of accidental dural punctures (ADPs), postdural puncture headaches (PDPHs), and failed regional anesthetics at an...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2009.94 |
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| author | Sukhdip Singh Shagufta Y. Chaudry Amy L. Phelps Manuel C Vallejo |
| author_facet | Sukhdip Singh Shagufta Y. Chaudry Amy L. Phelps Manuel C Vallejo |
| author_sort | Sukhdip Singh |
| collection | DOAJ |
| description | Obstetric anesthesia-related complications occur as a result of labor epidural or spinal placement. The purpose of this continuous quality-improvement audit was to review the occurrence of accidental dural punctures (ADPs), postdural puncture headaches (PDPHs), and failed regional anesthetics at an academic tertiary-care medical center over a 5-year period. Obstetric anesthesia complications contained in three databases consisting of ADPs, PDPHs, and failed regional anesthetics were matched to a perinatal database, with no complications serving as controls. Of the 40,894 consecutive parturients, there were 765 documented complications. Complication rates were 0.73% (95% CI: 0.65–0.82) for ADP, 0.49% (95% CI: 0.43–0.56) for PDPH, and 0.65% (95% CI: 0.57–0.73) for failed regional anesthetic. When compared to the no complication group, factors associated with obstetric anesthesia complications included increased weight and BMI (p < 0.01), epidural block (p < 0.01), and vaginal delivery (p< 0.01). |
| format | Article |
| id | doaj-art-8dd691323da34513b43cdd432d8e3b0e |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-8dd691323da34513b43cdd432d8e3b0e2025-02-03T06:05:58ZengWileyThe Scientific World Journal1537-744X2009-01-01971572210.1100/tsw.2009.94A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical CenterSukhdip Singh0Shagufta Y. Chaudry1Amy L. Phelps2Manuel C Vallejo3Magee-Womens Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, USAMagee-Womens Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, USADuquesne University, School of Business, Pittsburgh, PA, USAMagee-Womens Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, USAObstetric anesthesia-related complications occur as a result of labor epidural or spinal placement. The purpose of this continuous quality-improvement audit was to review the occurrence of accidental dural punctures (ADPs), postdural puncture headaches (PDPHs), and failed regional anesthetics at an academic tertiary-care medical center over a 5-year period. Obstetric anesthesia complications contained in three databases consisting of ADPs, PDPHs, and failed regional anesthetics were matched to a perinatal database, with no complications serving as controls. Of the 40,894 consecutive parturients, there were 765 documented complications. Complication rates were 0.73% (95% CI: 0.65–0.82) for ADP, 0.49% (95% CI: 0.43–0.56) for PDPH, and 0.65% (95% CI: 0.57–0.73) for failed regional anesthetic. When compared to the no complication group, factors associated with obstetric anesthesia complications included increased weight and BMI (p < 0.01), epidural block (p < 0.01), and vaginal delivery (p< 0.01).http://dx.doi.org/10.1100/tsw.2009.94 |
| spellingShingle | Sukhdip Singh Shagufta Y. Chaudry Amy L. Phelps Manuel C Vallejo A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center The Scientific World Journal |
| title | A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center |
| title_full | A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center |
| title_fullStr | A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center |
| title_full_unstemmed | A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center |
| title_short | A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center |
| title_sort | 5 year audit of accidental dural punctures postdural puncture headaches and failed regional anesthetics at a tertiary care medical center |
| url | http://dx.doi.org/10.1100/tsw.2009.94 |
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