{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:12:25Z","timestamp":1774444345529,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,10,13]],"date-time":"2014-10-13T00:00:00Z","timestamp":1413158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2014,11]]},"abstract":"Background<\/jats:title>Accidental dural puncture (ADP<\/jats:styled-content>) and post\u2010dural puncture headache (PDPH<\/jats:styled-content>) are important complications of obstetric regional anesthesia. Inserting the catheter intrathecally after ADP<\/jats:styled-content> to prevent PDPH<\/jats:styled-content> has gained popularity. Nonetheless, data on the effect of an intrathecal catheter on PDPH<\/jats:styled-content> and epidural blood patch (EBP<\/jats:styled-content>) rates are mixed. Our primary objective was to examine if spinal catheterization reduces the incidence of PDPH<\/jats:styled-content> after ADP<\/jats:styled-content> in obstetric patients.<\/jats:p><\/jats:sec>Methods<\/jats:title>Anesthetic records of 29,749 regional blocks performed between J<\/jats:styled-content>anuary 1997 and J<\/jats:styled-content>uly 2013 were analyzed retrospectively. In all blocks containing an epidural component, 18\u2010gauge epidural needles were used. All patients who experienced a witnessed ADP<\/jats:styled-content> or PDPH<\/jats:styled-content> without ADP<\/jats:styled-content> were identified. Data from patients with or without a prolonged spinal catheter were compared.<\/jats:p><\/jats:sec>Results<\/jats:title>There were 128 events of witnessed ADP<\/jats:styled-content> (0.43%). Following known ADP<\/jats:styled-content>, 39 women had an epidural catheter placed at a different level and 89 had an intrathecal catheter (20\u2010gauge) for at least 24\u2009h. Sixty\u2010one patients developed PDPH<\/jats:styled-content> after observed ADP<\/jats:styled-content> (48%). Prolonged intrathecal catheter placement significantly reduced the incidence of PDPH<\/jats:styled-content> after ADP<\/jats:styled-content> to 42% compared with 62% in those who have the catheter re\u2010sited epidurally [odds ratio\u2009=\u20092.3 (95% confidence interval 1.04\u20134.86); P<\/jats:italic>\u2009=\u20090.04].<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The incidence of ADP<\/jats:styled-content>, PDPH<\/jats:styled-content> and blood patching is similar with previously published studies. After witnessed ADP<\/jats:styled-content>, inserting the epidural catheter intrathecally significantly reduced the incidence of PDPH<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12394","type":"journal-article","created":{"date-parts":[[2014,10,13]],"date-time":"2014-10-13T06:37:36Z","timestamp":1413182256000},"page":"1233-1239","source":"Crossref","is-referenced-by-count":47,"title":["Lower incidence of post\u2010dural puncture headache with spinal catheterization after accidental dural puncture in obstetric patients"],"prefix":"10.1111","volume":"58","author":[{"given":"S.","family":"VERSTRAETE","sequence":"first","affiliation":[{"name":"Department of Anesthesiology University Hospitals Gasthuisberg Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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