Lower incidence of post-dural puncture headache with spinal catheterization after accidental dural puncture in obstetric patients

2014 ◽  
Vol 58 (10) ◽  
pp. 1233-1239 ◽  
Author(s):  
S. VERSTRAETE ◽  
M. A. WALTERS ◽  
S. DEVROE ◽  
E. ROOFTHOOFT ◽  
M. VAN DE VELDE
Keyword(s):  
Lower Incidence ◽  
Dural Puncture ◽  
Post Dural Puncture Headache ◽  
Accidental Dural Puncture

scholarly journals The Sprotte Needle and Post Dural Puncture Headache following Caesarean Section

1993 ◽  
Vol 21 (3) ◽  
pp. 280-283 ◽  
Author(s):  
A. W. Ross ◽  
C. Greenhalgh ◽  
D. P. McGlade ◽  
I. G. Balson ◽  
S. C. Chester ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Population Size ◽  
Lower Incidence ◽  
Dural Puncture ◽  
Operating Conditions ◽  
Hyperbaric Bupivacaine ◽  
Post Dural Puncture Headache ◽  
The Difference ◽  
Obstetric Population

One hundred and forty-four patients receiving subarachnoid anaesthesia for caesarean section were prospectively analysed for quality of anaesthesia and the occurrence of post dural puncture headache (PDPH). Anaesthesia was administered via 24 gauge Sprotte (n = 104) and 26 gauge Quincke (n = 40) needles using hyperbaric bupivacaine 0.5% with morphine 0.2 mg. Anaesthesia was successful in 103 patients with the Sprotte needle and 38 patients with the Quincke needle, and the operating conditions were considered to be excellent. Of the 104 patients in the Sprotte needle group there were ten with PDPH (9.6%), two of which were considered severe. Of the 40 patients in the Quincke needle group there were eight with PDPH (20%), three of which were considered severe. Despite the lower incidence of headache in the Sprotte needle group, this was not statistically significant (P>0.05), due to the difference in population size. We conclude that the 24 gauge Sprotte needle is associated with a comparatively low but clinically relevant incidence of headache in the obstetric population.

scholarly journals Punção Acidental da Dura e Cefaleia Pós-punção da Dura na População Obstétrica: Oito Anos de Experiência

2016 ◽  
Vol 29 (4) ◽  
pp. 268
Author(s):  
Maria Vaz Antunes ◽  
Adriano Moreira ◽  
Catarina Sampaio ◽  
Aida Faria
Keyword(s):  
Conservative Treatment ◽  
Epidural Catheter ◽  
Dural Puncture ◽  
Epidural Blood Patch ◽  
Spinal Block ◽  
Post Dural Puncture Headache ◽  
Retrospective Audit ◽  
Prophylactic Measures ◽  
Blood Patch ◽  
Accidental Dural Puncture

<p><strong>Introduction:</strong> Accidental dural puncture is an important complication of regional anesthesia and post-dural puncture headache remains a disable outcome in obstetric population. The aim of our study was to calculate the incidence of accidental puncture and post-puncture headache and evaluate its management among obstetric anesthesiologists.<br /><strong>Material and Methods:</strong> We conducted a retrospective audit, between January 2007 and December 2014. We reviewed the record sheets of patients who experienced either accidental puncture or post-puncture headache. We excluded the patients undergoing spinal block. We use the SPSS 22.0 for statistical analyses.<br /><strong>Results:</strong> We obtained 18497 neuro-axial blocks and 58 accidental dural punctures (0.3%). After detected puncture, in 71.4% epidural catheter was re-positioned and 21.4% had intra-thecal catheters. Forty-five (77.6%) developed headache and the prophylactic measures were established in 76.1%. Conservative treatment was performed in all patients. The epidural blood patch was performed in 32.8% with a 84.2% of success.<br /><strong>Discussion:</strong> The incidence of post-dural puncture headache is unrelated to the type of delivery or insertion of intrathecal catheter. The re-placement of the epidural catheter remains the main approach after puncture. The institution of prophylactic measures is a common practice, despite the low level of evidence. We performed epidural blood patch after failure of conservative treatment.<br /><strong>Conclusion:</strong> The incidence of accidental dural puncture and post-dural puncture headache was similar to the literature. Despite being a common complication, there remains lack of consensus on its approach.</p>

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

2010 ◽  
Vol 55 (1) ◽  
pp. 46-53 ◽  
Author(s):  
B. DARVISH ◽  
A. GUPTA ◽  
S. ALAHUHTA ◽  
V. DAHL ◽  
S. HELBO-HANSEN ◽  
...  
Keyword(s):  
Dural Puncture ◽  
Post Dural Puncture Headache ◽  
Accidental Dural Puncture

scholarly journals Hematoma subdural como complicación de analgesia epidural de parto. A propósito de dos casos

2018 ◽  
Vol 10 (9) ◽  
pp. 2
Author(s):  
Rita Veloso de Sousa ◽  
Ana Belén Ortega López ◽  
José Francisco Guillén Perales
Keyword(s):  
Dural Puncture ◽  
Obstetric Anesthesia ◽  
Neuraxial Anesthesia ◽  
Intracranial Hemorrhages ◽  
Post Dural Puncture Headache ◽  
Frequent Complication ◽  
Healthy Women ◽  
Accidental Dural Puncture

Las hemorragias intracraneales son una complicación infrecuente pero potencialmente grave tras la punción dural asociada a anestesia neuroaxial. Las consecuencias pueden ser catastróficas, especialmente cuando hablamos de anestesia neuroaxial obstétrica en mujeres jóvenes y sanas. El diagnóstico puede ser difícil por la similitud de síntomas con la cefalea postpunción dural (CPPD), que es la complicación más frecuente tras una punción dural. Este trabajo tiene como objetivo, aumentar la conciencia de los profesionales ante la posibilidad de ocurrencia de este tipo de complicaciones ante una punción dural accidental.  ABSTRACT Intracranial hemorrhages are a rare but potentially serious complication following dural puncture associated with neuraxial anesthesia. The consequences can be catastrophic, especially when we talk about neuraxial obstetric anesthesia in young and healthy women. Dagnosis may be difficult due to the similarity of symptoms between these and post-dural puncture headache, which is the most frequent complication after a dural puncture. This work aims to increase the awareness of professionals for the possibility of occurrence of this type of complications when an accidental dural puncture has occured.

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