“…This approach may allow fluid to collect under the dressing, where it is easily detected. In the absence of a transparent dressing and vigilant nursing staff, a small CSF leak along the insertion track after its removal could easily be missed or the extravasating fluid ascribed to analgesic solution or edema, other possibilities in the differential diagnosis (9,10).…”
Combined spinal-epidural block can be complicated by persistent fluid leak from the skin insertion site. Testing for the presence of cerebrospinal fluid may be a useful aid to management.
“…This approach may allow fluid to collect under the dressing, where it is easily detected. In the absence of a transparent dressing and vigilant nursing staff, a small CSF leak along the insertion track after its removal could easily be missed or the extravasating fluid ascribed to analgesic solution or edema, other possibilities in the differential diagnosis (9,10).…”
Combined spinal-epidural block can be complicated by persistent fluid leak from the skin insertion site. Testing for the presence of cerebrospinal fluid may be a useful aid to management.
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