منابع مشابه
Unintentional dural puncture with a Tuohy needle increases risk of chronic headache.
BACKGROUND Neuraxial analgesia is chosen by almost half of women who give birth in the United States. Unintentional dural puncture is the most common complication of this pain management technique, occurring in 0.4% to 6% of parturients. Severe positional headaches develop acutely in 70% to 80% of these parturients. Acute postdural puncture headaches are well known, but few studies have investi...
متن کاملA Modified Tuohy Needle.
When introducing a catheter into the epidural space, difficulty is sometimes encountered if the catheter tends to bend in the needle hub. This often occurs if resistance to the onward movement of the catheter is met. Kinking can result with consequent weakening of the catheter, and even more difficulty in advancing into the epidural space. To overcome this, a Tuohy needle has been specially mod...
متن کاملPost-dural Puncture Headache in the Obstetric Patient: Needle Size, Number of Dural Puncture and Timing of Ambulation
Spinal anesthesia is often the preferred technique of anesthesia for cesarean delivery. It is a simple procedure with rapid onset and deep sensory block effect that produces excellent operating conditions (1). As a complication of spinal anesthesia, post-dural puncture headache (PDPH) is caused by the needle penetration of the dura matter and loss of cerebrospinal fluid (CSF). During the postpa...
متن کاملPost-Dural Puncture Headache
August Bier’s first report of spinal anesthesia in August 1898 impressively described the development of a poste dural puncture headache (PDPH) (1). When asked for complications of spinal anesthesia today, patients often respond with PDPH. PDPH is defined as a constant heado ache that worsens in the sitting or upright position folglowing lumbar puncture (LP). Its incidence after spinal anesthes...
متن کاملDural puncture and headache
and employing authorities are being asked to review their consultant requirements to achieve a consultant led service. The increase in the numbers of consultants previously recommended by the British Paediatric Association4 is supported in the report; this will mean a further increase in training grades. In future, training in paediatrics at all levels will need to include work in hospitals and...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 2010
ISSN: 0003-2409
DOI: 10.1111/j.1365-2044.2010.06497.x