Sprotte needle for intrathecal anaesthesia for Caesarean section: incidence of postdural puncture headache

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Spinal anaesthesia for Caesarean section: effect of Sprotte needle orientation.

We induced spinal anaesthesia in 100 women presenting for elective Caesarean section with the mother in the right lateral position. Patients were allocated randomly to have the side eye of the 24-gauge Sprotte spinal needle pointing in one of four directions: group A, cephalad; group B, right lateral; group C, left lateral; group D, caudad. Isobaric bupivacaine 0.5% (2.5 ml) was injected over 3...

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[Postdural puncture headache after caesarean section: are preventive strategies worse than the cure?].

Postdural puncture headache (PDPH) was described immediately after the first spinal anesthesia (SA), when Bier himself suffered from a debilitating headache and attributed it to cerebrospinal fluid leakage through the dural rent. With better understanding of the pathophysiology of PDPH, and use of smaller bore needles for SA, the incidence to PDPH has gone down. Numerous risk factors for PDPH h...

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Postdural puncture headache

Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a p...

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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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Fetal blood flow during intrathecal anaesthesia for elective caesarean section.

Fetal aortic and umbilical blood flows were studied in 15 mothers before and during spinal (intrathecal) anaesthesia for elective Caesarean section, using a method combining real-time ultrasonography and a pulsed Doppler technique. Spinal anaesthesia with 0.5% bupivacaine hydrochloride 2.5 ml in 8% glucose monohydrate solution was administered after preloading with 2 litre of lactated Ringer's ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1990

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1990.tb14392.x