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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doaj-8dd691323da34513b43cdd432d8e3b0e2020-11-24T21:44:26ZengHindawi LimitedThe 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 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sukhdip Singh Shagufta Y. Chaudry Amy L. Phelps Manuel C Vallejo |
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 |
author_facet |
Sukhdip Singh Shagufta Y. Chaudry Amy L. Phelps Manuel C Vallejo |
author_sort |
Sukhdip Singh |
title |
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_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_sort |
5-year audit of accidental dural punctures, postdural puncture headaches, and failed regional anesthetics at a tertiary-care medical center |
publisher |
Hindawi Limited |
series |
The Scientific World Journal |
issn |
1537-744X |
publishDate |
2009-01-01 |
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). |
url |
http://dx.doi.org/10.1100/tsw.2009.94 |
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