Postpartum headache is a common complaint faced by most obstetricians, with over 39% of women having in the first postpartum week. With increasing use labour epidural analgesia, incidence postdural puncture (PDPH) due to inadvertent dural 0.5-1%. Most treatment modalities relieve symptoms PDPH minimizing compensatory cerebral vasodilatation, or sealing site. Treatment options include, conservati...

BACKGROUND The aim of the current study was to investigate the effect of administration of cosyntropin after accidental dural puncture (ADP) on the incidence of postdural puncture headache (PDPH) and the need for therapeutic epidural blood patch (EBP). METHODS Ninety parturients who suffered an ADP were studied. After delivery, patients were randomly assigned to one of two equal-sized groups....

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...

BACKGROUND Continuous spinal anesthesia is a very reliable and versatile technique for providing effective anesthesia and analgesia. However, the incidence of possible complications, including postdural puncture headache or neurological impairment, remains controversial. Therefore, the aim of the present retrospective study was to analyze a large number of patients for the incidence of adverse ...

In this retrospective study, the question was raised and answered whether the rate of postdural puncture headache (PDPH) after continuous spinal anesthesia with a 28G microcatheter varies using a Quincke or a Sprotte needle. The medical records of all patients with allogenic joint replacement of the knee or hip or arthroscopic surgery of the knee joint undergoing continuous spinal anesthesia wi...