A prospective controlled study of continuous spinal analgesia versus repeat epidural analgesia after accidental dural puncture in labour

Patients who did, or did not, receive the assigned intervention. Details of the patients who were excluded are summarised in the Appendix.

Complications associated with replacing the epidural catheter after accidental dural puncture in the 58 women assigned to repeat epidural insertion. Further details are available in the Appendix. ∗Intrathecal catheter left in situ while epidural repeated, repeat epidurals ineffective so spinal analgesia via first catheter (n=2); ^†Bloody tap on two occasions with subsequent high block (n=1); ^ΦTwo further ADPs and one bloody tap (n=1); ^ΣAttempted combined spinal-epidural for subsequent caesarean delivery (spinal component unsuccessful).

Complications associated with spinal catheter placement after accidental dural puncture in the 57 women assigned to the spinal analgesia group. Further details are available in the Appendix. ^†Locum Registrar ignored protocol. ^ΦConsultant anaesthetist advised general anaesthesia for caesarean delivery.