Unintentional dural puncture. A survey of recognition and management
نویسندگان
چکیده
منابع مشابه
Bilateral sixth cranial nerve palsy after unintentional dural puncture.
PURPOSE Bilateral sixth nerve palsy is a known though uncommon complication following dural puncture. The recommended treatment consists of hydration and alternate monocular occlusion. The value and the timing of an epidural blood patch (EBP) for sixth nerve palsy remains controversial as some authors have demonstrated benefits in performing an EBP early in course of the nerve palsy whereas oth...
متن کاملUnintentional 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 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...
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 کاملPost-dural puncture cephalgia.
Post-dural puncture cephalgia is a complication often encountered by the anesthesia practitioner. Disruption in the continuity of the dura incurred during diagnostic procedures (such as myelography or cerebral spinal fluid harvesting) also increases the number of patients requiring treatment for severe to incapacitating cephalgia. The anesthetist's ability to differentiate, evaluate, and assist...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 1987
ISSN: 0003-2409,1365-2044
DOI: 10.1111/j.1365-2044.1987.tb05181.x