Resident Case Report Published in A&A Practice
Third-year resident, Kevin Olsen, MD, authored the case report titled “Blood Patch in a Jehovah’s Witness: Case Report of a Novel Arterial-to-Epidural Closed-Circuit Technique” with former Anesthesiology fellow Ashley Screws, MD, and Assistant Professor Stephen Vose, MD.
A&A Practice is a journal for clinicians worldwide that supports the educational missions of the International Anesthesia Research Society and Anesthesia & Analgesia. They publish short yet informative, peer-reviewed articles that describe the unique perioperative or chronic pain-related clinical care of one to three patients; an important teaching point or novel educational tool; or an innovative solution to a perioperative services, patient safety, or global health management issue.
Read the abstract below and click here to read the full report.
Jehovah’s Witness patients have unique perioperative challenges involving blood products. We describe the use of a novel method to maintain a closed circuit between a Jehovah’s Witness patient’s arterial blood and the epidural space while performing a blood patch for postdural puncture headache.
Previously described methods have utilized venous catheters to maintain a closed circuit between the body and the epidural space. This is the first report we are aware of that utilizes a closed-circuit arterial blood supply to create an epidural blood patch in a Jehovah’s Witness patient.