BACKGROUND Our aim in this multinational, multicenter, randomized, blinded trial was to determine the optimum of 3 volumes of autologous blood for an epidural blood patch. METHODS Obstetric patients requiring epidural blood patch after unintentional dural puncture during epidural catheter insertion were allocated to receive 15, 20, or 30 mL of blood, stratified for the timing of epidural bloo...

Postdural puncture headache (PDPH) is a debilitating side effect of spinal anesthesia, the result of dural puncture and cerebrospinal fluid (CSF) leakage with an incidence of 3% to 75% in patient populations. Despite numerous in vitro and in viva studies that have identified predictors associated with PDPH, debate continues on the best technique to reduce CSF leak after dural puncture. The purp...

Dexamethasone Increases the Frequency of Post-Dural Puncture Headache (PDPH): An Evidence Based Reality Fardin Yousefshahi Department of Anesthesia and Critical Care, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran Corresponding author: Fardin Yousefshahi, Department of Anesthesia and Critical Care, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Ira...

BACKGROUND Post-dural puncture headache (PDPH) is the most common complication of procedures in which the dura mater is penetrated. OBJECTIVES To evaluate the effectiveness of caudal saline injections as a therapeutic approach for handling post-dural puncture headache. STUDY DESIGN Prospective observational study between 1995 and 2010. SETTING Associated teaching hospital. METHODS A 5-c...

Pneumocephalus is a rare consequence of epidural anesthesia, which may occur following inadvertent or unidentified dural puncture when the loss of resistance to air technique is applied to identify the epidural space. Headache is the most common symptom presented in this condition, usually with sudden onset. This case report describes an unusual presentation of diffuse pneumocephalus after an u...

1. Atabaki S, Ochsenschlager D, Vezina G: Post-lumbar puncture headache and backache in pediatrics: A case series and demonstration of magnetic remnance imaging findings. Arch Pediatr Adolesc Med 19%; 153:770-3 2. McHale J, O'Donovdn FC: Postdnral puncture symptoms in a child. Anaesthesia 1997; 52:688 -90 3 . Wee LH, Lam F, Cranston AJ: The incidence of post dural puncture headache in children....

OBJECTIVES We evaluated post dural puncture headache (PDPH) cases and the contributing factors and monitored the treatment response with epidural blood patch (EBP), and other therapies. METHODS In this retrospective study, 77 PDPH cases treated with EBP were included. Patients were evaluated in terms of age, gender, type of surgery, type and diameter of the needle used for dural puncture, num...