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Papers of the Week


2020 Aug


Pain Physician


23


4S

Considerations for Epidural Blood Patch and Other Postdural Puncture Headache Treatments in Patients with COVID-19.

Authors

Scemama P, Farah F, Mann G, Margulis R, Gritsenko K, Shaparin N
Pain Physician. 2020 Aug; 23(4S):S305-S310.
PMID: 32942790.

Abstract

A primary concern in the use of EBP in these patients is the possibility of seeding the virus in the CNS. Another important concern is related to the known hypercoagulable state in COVID-19 positive patients and associated organ dysfunction that may alter the metabolism of anticoagulants. The safety of the providers performing the EBP, the position of the patient and choices for image guidance (blind, fluoroscopic) are also key considerations to review. It is also important to explore the current state of knowledge about using allogenic instead of autologous blood as well as emerging techniques to eliminate the coronavirus from the blood.