Cefalea postpunción dural en obstetricia

Correa, Teresa López; Sánchez, J.C. Garzón; Montero, F.J. Sánchez; Villoria, Clemente Muriel

doi:10.1016/s0034-9356(11)70141-4

Cited by 8 publications

(3 citation statements)

References 117 publications

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“…Around 50-80% of patients with ADP develop PDPH. 19 , 20 , 21 , 22 Our study has not found a higher PDPH incidence among obese population, which matches the results obtained in previous studies. In fact, the Peralta et al study 16 demonstrated that a BMI ≥ 35 kg.m - ² was a protective factor against the development of PDPH.…”

Section: Discussionsupporting

confidence: 92%

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

González-Tascón

Díaz²,

García³

2021

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussionsupporting

confidence: 92%

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

González-Tascón

Díaz²,

García³

2021

Brazilian Journal of Anesthesiology (English Edition)

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“…Amorim y col 9 ., realizaron una revisión de 35 casos de HSD post anestesia neuroxial e identificaron como factores de riesgo para esta complicación, el embarazo, realización de punciones múltiples, deshidratación, uso de anticoagulantes, presencia de anormalidades vasculares intracraneales y atrofia cerebral.…”

Section: Introductionunclassified

Resolución espontánea de hematoma subdural secundario a anestesia raquídea: reporte de caso

Angulo¹,

Ortíz

Barrios

et al. 2023

revchilneurocir

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Los hematomas subdurales (HSD) son una complicación poco frecuente tras la raquianestesia que puede provocar alteraciones graves con importantes déficits neurológicos. Existen diferentes factores que aumentan la probabilidad de desarrollarlo, como los cambios fisiológicos asociados al embarazo. El diagnóstico puede ser difícil debido a la similitud de los síntomas con la cefalea postpunción dural (CPPD). El tratamiento es médico o quirúrgico, dependiendo, entre otras cosas, de la afección. Condición neurológica, el grosor del hematoma o desviación de la línea media. Presentamos el caso de una paciente con hematoma subdural crónico tras raquianestesia para cesárea, que fue tratada médicamente con posterior reabsorción total. Conclusión: En los pacientes sometidos a raquianestesia y que presenten cefalea en las primeras 24 a 48 horas, o que vuelvan a consultar tras el alta por persistencia que no mejore con la medicación, debe indicarse la TC para descartar hemorragias intracraneales. El manejo médico y la observación cercana es una opción de tratamiento válida para los hematomas subdurales crónicos después de la anestesia espinal.

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“…Post-dural puncture headache (PDPH) is a common complication following neuraxial anaesthesia that increases the duration of hospital stay [1], [2], and is considered a significant cause of increased anaesthetic workload and often interferes with maternal-infant interaction [3].…”

Section: Introductionmentioning

confidence: 99%

Suboccipital Muscles Injection for Management of Post-Dural Puncture Headache After Cesarean Delivery: A Randomized-Controlled Trial

Abdelraouf¹,

Salah²,

Waheb³

et al. 2019

Open Access Maced J Med Sci

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INTRODUCTION: Post-dural puncture headache (PDPH) is a common complication following neuraxial anaesthesia that increases the duration of hospital stay. AIM: This study aims to evaluate the effectiveness of injection of the dexamethasone-lidocaine mixture in suboccipital muscles treatment of PDPH after cesarean section. PATIENT AND METHODS: A group of 90 females with PDPH following cesarean section under spinal anaesthesia were randomly allocated into two equal groups: study group (Group S) and control group (group C). All patients received bilateral intramuscular (in the suboccipital muscle) (Group S) (n = 45) patients received lidocaine 40 mg (2 mL of 2% solution) and dexamethasone 8mg in a total volume of 4 mL; whilst, patients in the control group (group C) (n = 45) received 4 mL normal saline. The primary outcome is the Visual Analogue Score for a headache at 24 hours after injection. RESULTS: Demographic data and the baseline, headache score, neck muscle spasm, and nausea were comparable in both groups. Group S showed lower headache score compared to group C at all the post-injection time points. All patients in group S showed resolution of nausea after the intervention; while none of the control group showed any improvement. All patients of group C needed rescue analgesia; while only 6 (13.3%) patients in group S asked for an analgesic. Time to the first analgesic request was longer in group S compared to group C (10.17 ± 7.96 hours versus 1.00 ± 0.00 hours, P < 0.001). CONCLUSION: Ultrasound-guided injection of the dexamethasone-lidocaine mixture in suboccipital muscles is effective management of PDPH after CS.

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Cefalea postpunción dural en obstetricia

Cited by 8 publications

References 117 publications

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

Resolución espontánea de hematoma subdural secundario a anestesia raquídea: reporte de caso

Suboccipital Muscles Injection for Management of Post-Dural Puncture Headache After Cesarean Delivery: A Randomized-Controlled Trial

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