Journals / Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2018 / Cilt: 51 - Sayı: 1

ALTERNATIVE TREATMENTS FOR EPIDURAL BLOOD PATCH IN POSTPARTUM PATIENTS WITH POSTDURAL PUNCTURE HEADACHE

POSTPARTUM HASTALARDA POSTDURAL PONKSİYON BAŞ AĞRISI YÖNETİMİNDE EPİDURAL KAN YAMASINA ALTERNATİF TEDAVİLER

Pages
63–69
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article, alternative treatment options for epidural blood patch in postdural puncture headacce are discussed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:With the increase of labor neuroaxial anesthesia, the frequency of postdural puncture headache is also increasing, which is the most common complication.
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Key Findings & Data:Although the epidural blood patch is accepted as the gold standard treatment, there are some situations epidural blood patch can not be applied like patient refusal, treatment fail or contraindications.
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Conclusion & Impact:In this article, alternative treatment options for epidural blood patch in postdural puncture headacce are discussed.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

With the increase of labor neuroaxial anesthesia, the frequency of postdural puncture headache is also increasing, which is the most common complication. Although the epidural blood patch is accepted as the gold standard treatment, there are some situations epidural blood patch can not be applied like patient refusal, treatment fail or contraindications. It is a minimal invasive method, but post-operative complications may be seen in broad spectrum like back pain and permanent neurological sequela. In this article, alternative treatment options for epidural blood patch in postdural puncture headacce are discussed.

Özet

Doğumda nöroaksiyel anestezi uygulamalarının artmasıyla birlikteen sık görülen komplikasyon olan postdural ponksiyon baş ağrısısıklığı da artmaktadır. Epidural kan yaması altın standart tedaviolarak kabul edilse de epidural kan yamasını reddeden, kontrendikeolan ya da tedavinin başarısız olduğu hastalar mevcuttur. Ayrıcaminimal invaziv bir yöntem olmasına rağmen uygulama sonrasısırt ağrısından kalıcı nörolojik sekel gibi geniş spektrumdakomplikasyonlarla karşılaşılabilir. Bu makalede postduralponksiyon baş ağrısı tedavisinde epidural kan yamasına alternatiftedavi seçenekleri ve etkinlikleri tartışılmıştır.

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Cite This Article

TAKMAZ, S. A., BAŞAR, H., BABAOĞLU, G., BALTACI, B. (2022). ALTERNATIVE TREATMENTS FOR EPIDURAL BLOOD PATCH IN POSTPARTUM PATIENTS WITH POSTDURAL PUNCTURE HEADACHE. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 51 - Sayı: 1, 63–69. https://ajindex.com/articles/441304

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References (1)

  1. )Bier A. Experiments on the spinal cord cocainization. Arch Klin Chir Ver Dtsch Z Chir. 1899; 51: 361–8. 2.)Fernández E. Headaches associated with low spinal fluid pressure. Headache. 1990; 30(3):122–8. 3.)Silberstein SD, Marcelis J. Headache associated with changes in intracranial pressure. Headache. 1992; 32(2): 84–94. 4.)Amorim JA, Gomes de Barros M V, Valença MM. Post-dural (post-lumbar) puncture headache: Risk factors and clinical features. Cephalalgia. 2012; 32(12): 916–23. 5.)Morgenlander JC. Lumbar puncture and CSF examination. Answers to three commonly asked questions. Postgrad Med. 1994; 95(8): 125–8, 131. 6.)Kuntz KM, Kokmen E, Stevens JC, Miller P, Offord KP, Ho MM. Post-lumbar puncture headaches: experience in 501 consecutive procedures. Neurology. 1992; 42(10): 1884–7. 7.)Smedstad KG. Dealing with post-dural puncture headache — is it different in obstetrics? Can J Anaesth. 1998; 45(1): 6–9. 8.)Harrington BE, Schmitt AM. Meningeal (Postdural) Puncture Headache, Unintentional Dural Puncture, and the Epidural Blood Patch. Reg Anesth Pain Med. 2009; 34(5): 430–7. 9.)Munnur U, Suresh MS. Backache, headache, and neurologic deficit after regional anesthesia. Anesthesiol Clin North America. 2003; 21(1): 71–86. 10.)Arevalo-Rodriguez I, Ciapponi A, Munoz L, Roqué i Figuls M, Bonfill Cosp X. Posture and fluids for preventing post-dural puncture headache. In: Arevalo-Rodriguez I, editor. Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2013; 6-7 11.)Allen C, Glasziou P, Del Mar C. Bed rest: a potentially harmful treatment needing more careful evaluation. Lancet (London, England). 1999; 354(9186): 1229–33. 12.)Ostheimer GW, Palahniuk RJ, Shnider SM. Letter: Epidural blood patch for post-lumbar-puncture headache. Anesthesiology. 1974; 41(3): 307–8. 13.)Flaatten H, Rodt S, Rosland J, Vamnes J. Postoperative headache in young patients after spinal anaesthesia. Anaesthesia. 1987; 42(2): 202–5. 14.)Handler CE, Smith FR, Perkin GD, Rose FC. Posture and lumbar puncture headache: a controlled trial in 50 patients. J R Soc Med. 1982; 75(6): 404–7. 15.)Mosavy SH, Shafei M. Prevention of headache consequent upon dural puncture in obstetric patient. Anaesthesia. 1975; 30(6): 807–9. 16.)Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 2003; 91(5): 718–29. 17.)Canhão P, Batista P, Falcão F. Lumbar Puncture and Dural Sinus Thrombosis – A Causal or Casual Association? Cerebrova