scholarly journals 47 Incidence and management of post-dural puncture headache and accidental dural puncture from an oncology hospital: a 5-year retrospective analysis

2021 ◽  
Author(s):  
S Dias ◽  
M Nunes Ferreira ◽  
J Oliveira ◽  
S Serra ◽  
P Alves ◽  
...  
2016 ◽  
Vol 29 (4) ◽  
pp. 268
Author(s):  
Maria Vaz Antunes ◽  
Adriano Moreira ◽  
Catarina Sampaio ◽  
Aida Faria

<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>


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

2018 ◽  
Vol 10 (9) ◽  
pp. 2
Author(s):  
Rita Veloso de Sousa ◽  
Ana Belén Ortega López ◽  
José Francisco Guillén Perales

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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