Obstetric Anesthetic Complications

2019 ◽  
Author(s):  
Ying Eva Lu ◽  
Linden Lee
Keyword(s):  
Back Pain ◽  
General Anesthesia ◽  
Dural Puncture ◽  
Labor Analgesia ◽  
Neurological Injury ◽  
Post Dural Puncture Headache ◽  
Neural Blockade ◽  
Cns Infections ◽  
Accidental Dural Puncture ◽  
Anesthetic Complications

Anesthesia-associated maternal mortality and complications continue to decline due to improvements in practice and ongoing research in the field of obstetric anesthesiology. This chapter covers key topics in obstetric anesthetic complications, including accidental dural puncture, post-dural puncture headache, general anesthesia-related complications, inadequate labor analgesia, high neural blockade, post-partum back pain, CNS infections, as well as neurological injury. This review contains 54 references. Keywords: accidental dural puncture, post-dural puncture headache, general anesthesia-related complications, inadequate labor analgesia, high neural blockade, postpartum back pain, CNS infections, neurological injury.

Accidental dural puncture during labor analgesia and obstetric outcomes in nulliparous women

2019 ◽  
Vol 38 ◽  
pp. 46-51 ◽  
Author(s):  
K. Shea ◽  
L. Choi ◽  
D. Jagannathan ◽  
K. Elterman ◽  
J. Robinson ◽  
...  
Keyword(s):  
Dural Puncture ◽  
Labor Analgesia ◽  
Obstetric Outcomes ◽  
Nulliparous Women ◽  
Accidental Dural Puncture

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
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