Second stage pushing correlates with headache after unintentional dural puncture in parturients

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Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture.

BACKGROUND Postdural puncture headache (PDPH) occurs in up to 80% of parturients who experience inadvertent dural puncture during epidural catheter placement. The authors performed a randomized double blind study to assess the effect of prophylactic epidural blood patch on the incidence of PDPH and the need for therapeutic epidural blood patch. METHODS Sixty-four parturients who incurred inad...

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Post-Dural Puncture Headache

August Bier’s first report of spinal anesthesia in August 1898 impressively described the development of a poste dural puncture headache (PDPH) (1). When asked for complications of spinal anesthesia today, patients often respond with PDPH. PDPH is defined as a constant heado ache that worsens in the sitting or upright position folglowing lumbar puncture (LP). Its incidence after spinal anesthes...

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Dural puncture and headache

and employing authorities are being asked to review their consultant requirements to achieve a consultant led service. The increase in the numbers of consultants previously recommended by the British Paediatric Association4 is supported in the report; this will mean a further increase in training grades. In future, training in paediatrics at all levels will need to include work in hospitals and...

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Post-dural puncture headache

Postdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural space. Clinical and laboratory research over the last 30 years has shown that use of small-gauge ...

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Why Does Prophylactic Epidural Blood Patch Fail to Demonstrate Efficacy in Preventing Post–Dural Puncture Headache in Parturients after Dural Puncture?

To the Editor:— We read with interest the study by Scavone et al. that demonstrates the absence of efficacy of a prophylactic epidural blood patch after inadvertent dural puncture. We suggest that two factors could have influenced the negative result of this trial. First, inadvertent dural puncture could have been overdiagnosed, namely when loss of resistance to saline was used to locate epidur...

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ژورنال

عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 1999

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03012976