ArticleCureus2025
Investigating the Role of Intrathecal Catheterization After Accidental Dural Puncture in Reducing Post-dural Puncture Headache and Epidural Blood Patch Requirements: A Retrospective Cohort Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Accidental dural puncture (ADP) during epidural catheter insertion in obstetric patients is a well-known complication that often results in post-dural puncture headache (PDPH). Management strategies remain controversial, and the potential benefit of placing an intrathecal catheter (ITC) following ADP is yet to be conclusively established. Objectives The objective of this study is to evaluate whether the placement of an ITC following recognized ADP in parturients reduces the incidence of PDPH and the need for a therapeutic epidural blood patch (EBP). Methods This retrospective study analyzed 46 cases of recognized ADP in parturients undergoing labor analgesia. Patients were grouped based on subsequent management: those who received an ITC (n = 32) and those who did not (n = 14). The primary outcomes assessed were the incidence of PDPH and the requirement for EBP. Secondary analysis explored associations with demographic factors, including body mass index (BMI). Results PDPH occurred in 66.7% (n = 20) of patients in the ITC group and 71.4% (n = 10) in the non-ITC group (p = 0.433). An EBP was required in 29.0% (n = 9) of ITC cases compared to 35.7% (n = 5) in the non-ITC group (p = 0.594). Although a trend toward reduced EBP requirement was observed in the ITC group, the difference was not statistically significant. A higher BMI appeared to be associated with a reduced risk of PDPH; however, this association did not reach statistical significance. Conclusion ITC placement following ADP in parturients was associated with a trend toward reduced EBP requirement, though the difference was not statistically significant. No reduction in PDPH incidence was observed. These findings, while limited by sample size and study design, contribute region-specific real-world data to an evolving area of obstetric anesthesia. Further prospective, multicenter studies are needed to guide definitive recommendations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.