Dural puncture epidural versus conventional epidural block

Dural Puncture Block has become an increasingly discussed technique in labor and delivery analgesia, whereby no spinal medication is given but the dural hole is thought to enhance spread and speed of onset.

This review found “a lack of clear evidence on either the benefits or the risks of the DPE technique, such that a recommendation for or against its routine use is premature. Two of the three studies showing a beneficial effect of DPE came from the same institution and replication of the findings by other groups is warranted.”

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