Persistent Cerebrospinal Fluid Leak: A Complication of the Combined Spinal-Epidural Technique

B.O. Chan, Mike Paech

    Research output: Contribution to journalReview article

    17 Citations (Web of Science)

    Abstract

    Persistent cerebrospinal fluid (CSF) leak is an apparently rare complication of dural puncture from spinal or epidural anesthesia. Combined spinal-epidural techniques are increasingly popular but persistent CSF leak has not been reported. We describe three parturients with persistent fluid leak from the insertion site after epidural catheter removal following combined spinal-epidural anesthesia. Uncertainties related to the diagnosis, treatment, and the implications of this complication are discussed, including beta(2)-transferrin immunofixation assay as a diagnostic test for the presence of CSF in this situation.
    Original languageEnglish
    Pages (from-to)828-830
    JournalAnesthesia and Analgesia
    Volume98
    Publication statusPublished - 2004

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