In conclusion, 14/48 patients (29%) suffered none of the above-mentioned symptoms, indicating that a significant number of patients may suffer from PDPH in the absence of any symptoms apart from the headache itself. This suggests that a further analyses of existing studies should be made to determine if a criteria change may need consideration.

Amorim JA, Remígio DSCA, Damázio Filho O, Barros MAG, Carvalho VN, Valença MM-Intracranial Subdural Hematoma Post-Spinal Anesthesia: Report of Two Cases and Review of 33 Cases in the Literature. Background and objectives: Intracranial subdural hematoma is a rare complication of spinal anesthesia. We report two cases of women who developed chronic subdural hematoma post-spinal anesthesia diagnosed after prolonged clinical evolution of post-dural puncture headache (PDPH) and we analyze other 33 cases found on literature review.

Long working hours represented a negative factor in quality of life of all anesthesiologists in the city of Recife, and that of female anesthesiologists was significantly worse than males. Therefore, we concluded that reflection and actions are required to influence positively the health and quality of life of those professionals. Besides individual actions, institutional support is fundamentally important for the practice of anesthesiology and, to achieve positive changes, decisions should be based on scientific evidence.

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