Challenge: PDPH
Epidural anesthesia entails the risk of accidental dural puncture and cerebrospinal fluid (CSF) leakage at the puncture site in approximately 2% of all lumber punctures. This leakage causes post-dural puncture headache (PDPH), common in up to 80% of patients, victims of accidental dural puncture. PDPH is often accompanied by neck stiffness, photophobia, nausea, or subjective hearing symptoms, and can last for multiple days. Besides painful conditions these adverse events cause mothers increasing anxiety and negatively affect their ability to care for their newborn.
Despite the risk involved, there is a significant growth of epidural anaesthesia procedures in the pain control and treatment field.