Isolated tinnitus following placement of an intrathecal catheter for accidental dural puncture

2006 ◽  
Vol 15 (2) ◽  
pp. 180 ◽  
Author(s):  
Radha Ravi
Keyword(s):  
Dural Puncture ◽  
Intrathecal Catheter ◽  
Accidental Dural Puncture

scholarly journals RISK FACTORS, CLINICAL MANIFESTATION AND PREVENTION OF POST-DURAL PUNCTURE HEADACHE IN THE OBSTETRIC FIELD

2021 ◽  
Vol 31 (5) ◽  
pp. 73-76
Author(s):  
Matas Kalinauskas ◽  
Mantilė Juotkutė
Keyword(s):  
Risk Factors ◽  
Dural Puncture ◽  
Fluid Pressure ◽  
Intrathecal Catheter ◽  
Post Dural Puncture Headache ◽  
Blood Patch ◽  
Accidental Dural Puncture ◽  
History Of ◽  
Prospective Trials ◽  
Low Body Mass Index

Introduction: Over the past decades, the number of wo­men choosing to have epidural analgesia or undergoing spinal anesthesia during labor is steadily increasing. Con­sequently, a risk for complications is increasing. Post-dural puncture headache (PDPH) is considered one of the most common complication following accidental dural puncture (ADP). Sources and a method: A literature overview were con­ducted via search engine “PubMed (Medline)” and “Goo­gle Scholar”. Randomized controlled trials, meta – analy­sis, retrospective, prospective trials and systemic reviews on PDPH were selected. Aim of the review: To evaluate the most commonly des­cribed risk factors, clinical presentation and prevention of PDPH in the obstetric field. Results: The occurrence of ADP during neuraxial anest­hesia reported in the literature is relatively small – 0,1 – 1,5%. PDPH is a potentially expected complication after any lumbar punction. It presents as a headache within five days of the puncture due to low cerebrospinal fluid pressure. The pain is often bilateral, located in the frontal or occipital areas. Symptoms, such as vision and hearing impairment, neck pain and nausea might follow. Usually, the symptoms fade out spontaneously within two weeks. Risk factors for PDPH are modifiable (technique of the injection and anesthesiologist’s skills) and non-modifia­ble (pregnancy, low body mass index (BMI), dehydra­tion, history of PDPH). The goal of preventing PDPH is to identify and correct the risk factors associated with this condition. Main described means being equipment and experience, conservative measures, administration of epidural morphine, intravenous dexamethasone or co­syntropin, epidural blood patch and intrathecal catheter. Conclusions: 1. PDPH manifests as an orthostatic hea­dache with or without ocular, neural, hearing and other symptoms. 2. Young pregnant women with low BMI are more likely to suffer from PDPH. 3. PDPH preven­tion consists of risk factor correction and proper medi­cal techniques.

Management of accidental dural puncture in labour with intrathecal catheter

2000 ◽  
Vol 17 (Supplement 19) ◽  
pp. 153
Author(s):  
S. Rutter ◽  
F. Shields ◽  
R. Broadbent ◽  
R. Russell ◽  
M. Popat
Keyword(s):  
Dural Puncture ◽  
Intrathecal Catheter ◽  
Accidental Dural Puncture

Meningitis following intrathecal catheter placement after accidental dural puncture

2006 ◽  
Vol 15 (2) ◽  
pp. 172 ◽  
Author(s):  
Shaul Cohen ◽  
Christine W. Hunter ◽  
Ashraf Sakr ◽  
Raza H. Hijazi
Keyword(s):  
Dural Puncture ◽  
Catheter Placement ◽  
Intrathecal Catheter ◽  
Accidental Dural Puncture
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