Responses to the question ‘what barriers (if any) do you feel there are in the treatment of SIH?’
| Response | Respondents, n (%) (total=79) |
| Lack of access to a (dedicated) person able to perform EBP | 14 (18.4) |
| Lack of a standardised management pathway/guideline | 5 (6.6) |
| SIH is often difficult to treat | 5 (6.6) |
| It is often difficult to find the leak site | 4 (5.3) |
| Lack of evidence for treatments | 4 (5.3) |
| Scepticism about efficacy of EBP in SIH by anaesthetists | 4 (5.3) |
| Delays to being seen in tertiary centre | 3 (3.9) |
| Lack of responsibility for treatment/ownership | 3 (3.9) |
| Lack of funding/commissioned services | 3 (3.9) |
| Delay in diagnosis | 2 (2.6) |
| Lack of awareness of SIH by anaesthetists | 2 (2.6) |
| Difficulties with organising multidisciplinary care | 2 (2.6) |
| Delays to EBP being performed | 2 (2.6) |
| Lack of availability of theatre space to perform EBP | 2 (2.6) |
| Unknown how many EBP to perform before moving to myelography | 2 (2.6) |
| Unclear role of intravenous caffeine | 2 (2.6) |
| Lack of surgical expertise to repair leak | 2 (2.6) |
| None | 6 (7.9) |
This question was asked of all respondents, regardless of specialty, provided they said they were aware of the syndrome of SIH. Responses are grouped according to theme.
Percentages shown are the proportion of all participants who responded to this question; respondents were able to state more than one barrier.
EBP, epidural blood patch; SIH, spontaneous intracranial hypotension.