Impact of spinal needle design and approach to postdural puncture headache and spinal anesthesia failure in obstetrics

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Comparison of cutting and pencil-point spinal needle in spinal anesthesia regarding postdural puncture headache

BACKGROUND Postdural puncture headache (PDPH), mainly resulting from the loss of cerebral spinal fluid (CSF), is a well-known iatrogenic complication of spinal anesthesia and diagnostic lumbar puncture. Spinal needles have been modified to minimize complications. Modifiable risk factors of PDPH mainly included needle size and needle shape. However, whether the incidence of PDPH is significantly...

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Postdural puncture headache and pregabalin

BACKGROUND Even if carried out under optimal conditions, postdural puncture headache is still a frustrating and unpleasant complication in spinal anesthesia. This syndrome has an estimated incidence from less than 1% to about 5% of patients undergoing spinal anesthesia, even in the highest risk subset, the young, female, and pregnant population. CASE PRESENTATION In our two female cases, head...

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Impact of postdural puncture headache after diagnostic lumbar puncture

Sir Lumbar puncture (LP) is an essential medical procedure for several clinical conditions. It is an invasive procedure by which physicians can provide sample of cerebrospinal fluid through a needle inserted into the lower lumbar area for diagnostic purposes (meningitis or subarachnoid hemorrhage). Injection of medications into the cerebrospinal fluid "intrathecally", particularly for spinal an...

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ژورنال

عنوان ژورنال: Anaesthesiology Intensive Therapy

سال: 2019

ISSN: 1642-5758

DOI: 10.5114/ait.2019.86166