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Epidural Blood Patch

OPERATION: Epidural Blood Patch.

ANESTHESIA: Local and sedation.

COMPLICATIONS: None.

DESCRIPTION OF PROCEDURE: The procedure risks, hazards and alternatives were discussed with the patient and a proper consent was obtained. The patient was placed in a lateral decubitus position and the skin was prepped and draped in a sterile classical fashion. Excess cleansing solution was removed from the skin. A tourniquet was also placed around the upper arm and the antecubital fossa was prepped and draped in a sterile classical fashion. Local anesthesia was infiltrated subcutaneous and deep at *. An 18-gauge Tuohy needle was then placed in the epidural space on the first pass utilizing loss of resistance technique with a saline filled syringe. 10 cc of autologous blood was withdrawn from the antecubital vein in a sterile fashion. This was then injected into the epidural space in aliquots of 5 cc with negative aspiration prior to each injection. The patient was placed in a recumbent position for another 30 to 60 minutes before being allowed to sit up and ambulate. The patient tolerated the procedure well without any apparent difficulties or complications. They were feeling relief by the time they left the building.

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