CSE and spinal headache

New attending and recently I've been switching to doing CSE for my labor epidural. Unfortunately lately I've had a significant increase in spinal headaches. When i pull the spinal needle, no CSF from the tuohy, cathether passess easily and no response to the test dose. No sign of inadvertent dural puncture. I typically use a 25g spinal needle but now im thinking of switching to a27g. My understanding is that CSE should actually decrease the risk of PDPH but maybe I've been unlucky. Any... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums