134 Journal of Anaesthesiology Clinical Pharmacology | Volume 33 | Issue 1 | January-March 2017 The perioperative anesthetic management is very challenging in patient of tracheal tumor especially with intratracheal mass due to ventilatory concerns and suitable airway gadget for securing airway. Also, the intratracheal mass may get detached and dislodged distally leading to distal airway obstruc...

BACKGROUND The aim of the current study was to investigate the effect of administration of cosyntropin after accidental dural puncture (ADP) on the incidence of postdural puncture headache (PDPH) and the need for therapeutic epidural blood patch (EBP). METHODS Ninety parturients who suffered an ADP were studied. After delivery, patients were randomly assigned to one of two equal-sized groups....

A 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after her hospital discharge with generalised seizures. A brain scan showed features of intracranial hy...

Intracranial hypotension is characterized by a postural headache which is relieved in a supine position and worsened in a sitting or standing position. Although less commonly reported than postural headache, sixth nerve palsy has also been observed in intracranial hypotension. The epidural blood patch (EBP) has been performed for postdural puncture headache, but little is known about the proper...

Postpartum headache is a common complaint faced by most obstetricians, with over 39% of women having in the first postpartum week. With increasing use labour epidural analgesia, incidence postdural puncture (PDPH) due to inadvertent dural 0.5-1%. Most treatment modalities relieve symptoms PDPH minimizing compensatory cerebral vasodilatation, or sealing site. Treatment options include, conservati...

Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...

1. Atabaki S, Ochsenschlager D, Vezina G: Post-lumbar puncture headache and backache in pediatrics: A case series and demonstration of magnetic remnance imaging findings. Arch Pediatr Adolesc Med 19%; 153:770-3 2. McHale J, O'Donovdn FC: Postdnral puncture symptoms in a child. Anaesthesia 1997; 52:688 -90 3 . Wee LH, Lam F, Cranston AJ: The incidence of post dural puncture headache in children....

We report a case of difficult lumbar puncture due to the inability to obtain adequate cerebrospinal fluid (CSF) in a patient later diagnosed with spinal epidural lipomatosis (SEL). A 76-year-old man with a body mass index (BMI) of 24.1 kg/m2 was scheduled for transurethral resection of a bladder tumor for superficial bladder cancer under spinal anesthesia. The patient had a 3-year history of in...