Management of accidental dural puncture and post-dural puncture headache after labour: a Nordic survey

Darvish, Bijan; Gupta, Anil; Alahuhta, Seppo; Dahl, Vegard; Helbo‐Hansen, S.; Thorsteinsson, Adalbjörn; Irestedt, L.; Dahlgren, G.

doi:10.1111/j.1399-6576.2010.02335.x

Cited by 35 publications

(24 citation statements)

References 19 publications

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“…Some studies suggest that prophylactic EBP may reduce PDPH symptoms or need of therapeutic EBPs [14], but without evidence of efficacy [15]. The timing of EBP in the present study, with a median of 96 hours, was longer than suggested [16,17] and reported [18]. However, the optimal timing has not been established, but there are studies that suggest that EBPs performed 48 hours or later after LP could be more efficacious than early EBP [2,4,9,19].…”

Section: Discussionmentioning

confidence: 81%

“…Less blood was used for EBP in OUH (median [minimum-maximum], 15 [7][8][9][10][11][12][13][14][15][16][17][18][19][20] mL) than in KUH (18 [15][16][17][18][19][20] mL) and in SCH (19 [18][19][20] mL; P = .014). The time from LP to EBP (P = .7), amount of blood used in EBP (P = .6), or duration of bed rest after EBP (P = .1) had no correlation with EBP efficacy.…”

Section: Resultsmentioning

confidence: 99%

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Postdural puncture headache and epidural blood patch use in elderly patients

Sjövall

Kokki

Turunen

et al. 2015

Journal of Clinical Anesthesia

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Section: Discussionmentioning

confidence: 81%

Section: Resultsmentioning

confidence: 99%

Postdural puncture headache and epidural blood patch use in elderly patients

Sjövall

Kokki

Turunen

et al. 2015

Journal of Clinical Anesthesia

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“…[131415161718] Zajac et al . showed that aminophylline 250 mg once daily, when administered i.v., was not effective in decreasing the incidence of PDPH in comparison to caffeine or magnesium premedication.…”

Section: Discussionmentioning

confidence: 99%

Prophylactic administration of aminophylline plus dexamethasone reduces post-dural puncture headache better than using either drug alone in patients undergoing lower extremity surgery

Naghibi

Hamidi

2014

Adv Biomed Res

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Background:Post-dural puncture headache (PDPH) is a known complication of neuroaxial anesthesia and may be associated with significant morbidity. As invasive treatment for PDPH has known complications, pharmacologic management may be preferable. The main objective of the present study was to evaluate the effects of combining administration of intravenous aminophylline and dexamethasone on PDPH in patients who underwent lower extremity surgery in comparison with using either drug alone and also comparing them with placebo.Materials and Methods:One hundred and forty patients, aged 20-65 years, scheduled for lower extremity surgery in Alzahra University Hospital under spinal anesthesia were enrolled in this randomized, double-blind, placebo-controlled study. Patients were divided into four groups of 35 each and received aminophylline 1.5 mg/kg i.v. (group A), dexamethasone 0.1 mg/kg (group D), aminophylline 1.5 mg/kg plus dexamethasone 0.1 mg/kg i.v. (group AD), and placebo (group P). The incidences of PDPH and complete response were evaluated at 6-48 h after arrival to the ward in the four groups.Results:Patients in group AD had significantly lower incidence of PDPH (5.88% vs. 20.58% for group A and 17.14% for group D with P < 0.05), the highest incidence of complete response, and also, less analgesic requirement compared with groups A, D, and P throughout 6-48 h (1.2 ± 0.4 vs. 2.3 ± 0.75 for group A, 1.8 ± 0.6 for group D, and 3.3 ± 1 for placebo group with P < 0.05).Conclusion:Combine administration of aminophylline 1.5 mg/kg plus dexamethasone 0.1 mg/kg significantly reduced PDPH better than using either drug alone in patients who underwent lower extremity surgery under spinal anesthesia.

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“…PDPH, described as a postural, bilateral frontaloccipital, non-throbbing pain, can arise in up to 75% of patients (Vandermeulen et al, 1994;Gleeson and Reynolds, 1998;Darvish et al, 2011). It is thought to develop because of persistent transdural leakage of cerebrospinal fluid (CSF) at a rate exceeding CSF production.…”

Section: Nerve Traumamentioning

confidence: 99%

Anatomical complications of epidural anesthesia: A comprehensive review

et al. 2017

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Epidural anesthesia is a versatile technique widely used in treating lumbar spinal pain syndromes. Complications during these procedures can arise either from needle placement or from administration of medication. Potential risks include infection, hematoma, intravascular or subdural injections of medication, direct nerve trauma, air embolism, entry into a disc space, urinary retention, radiation exposure, and hypersensitivity reactions. The objective of this article is to review the complications of lumbar epidural injections and discuss the potential pitfalls related to these procedures. We searched Medline comprehensively for relevant case reports, clinical trials, and review articles. Complications from lumbar epidural injections are extremely rare. Most if not all of them can be avoided by careful techniques with accurate needle placement, sterile precautions, and a thorough understanding of the relevant anatomy and contrast patterns on fluoroscopic imaging. Clin. Anat. 30:342-346, 2017. © 2017 Wiley Periodicals, Inc.

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Management of accidental dural puncture and post-dural puncture headache after labour: a Nordic survey

Abstract: we found the incidence of ADP to be approximately 1%. EBP was the commonest method used for its management, and the success rate was high in most hospitals. Formal training in epidural analgesia was absent in most countries and trainees first performed it in the non-obstetric population.

Cited by 35 publications

References 19 publications

Postdural puncture headache and epidural blood patch use in elderly patients

Postdural puncture headache and epidural blood patch use in elderly patients

Prophylactic administration of aminophylline plus dexamethasone reduces post-dural puncture headache better than using either drug alone in patients undergoing lower extremity surgery

Anatomical complications of epidural anesthesia: A comprehensive review

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