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Epidural Anesthesia Performed 2 Hours after Epidural Blood Patch
  1. Heidi S. Smith, MD and
  2. David L. Brown, MD
  1. From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington


A 44-year-old man with an established postdural puncture headache was scheduled to undergo extracorporeal shock-wave lithotripsy (ESWL) as an outpatient. On admission to the outpatient unit, a lumbar epidural catheter was inserted and used to perform an epidural blood patch. This procedure relieved the headache, and 2 hours later epidural anesthesia for his ESWL was administered via the same epidural catheter. The patient had satisfactory epidural anesthesia and longterm relief of his headache with this approach.

  • Postdural puncture headache
  • Extracorporeal shock-wave lithotripsy
  • Epidural anesthesia

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