The Sprotte Needle and Post Dural Puncture Headache Following Caesarean Section

Ross, Andrew; Greenhalgh, Christine; Glade, D. P. Mc; Balson, I G; Chester, Steve; Hutchinson, R.; Ashley, Jeri

doi:10.1097/00132586-199404000-00025

Cited by 3 publications

(6 citation statements)

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“…On the other hand 26.7% of patients with PDPH complained as having severe pain. This figure in line with studies conducted in Australia on obstetric patients, which has reported as 27.7% [19] and Pakistan which has reported as 28.6% severe headache [12]. Unlike the figures reported in the above studies, a study conducted in Denmark to grade the severity of PDPH reported that 60% of patients rated their pain as severe [20].…”

Section: Discussionsupporting

confidence: 85%

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Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Kassa¹,

Beyen²,

Denu³

2015

J Anesth Clin Res

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Background: Post dural puncture headache (PDPH) has been a problem for patients after dural puncture. It is one of the most frequently occurring complications following spinal anesthesia (SA). It is believed to originate from persistent leakage of cerebrospinal fluid (CSF) through the punctured Dura, greater than the CSF production after lumbar puncture. Although the problem has been widely reported, its magnitude and associated factors has never been studied in our country. Thus, the aim of this study is to assess the magnitude of post dural puncture headache (PDPH) and associated factors after spinal anesthesia among patients in university of Gondar referral and teaching hospital.

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Section: Discussionsupporting

confidence: 85%

“…In our study the majority of patients have experienced mild (42.2) and moderate (31.1%) PDPH pain, which is the same as studies conducted in Ghana [18], Australia [19] and Pakistan [12]. On the other hand 26.7% of patients with PDPH complained as having severe pain.…”

Section: Discussionsupporting

confidence: 84%

Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Kassa¹,

Beyen²,

Denu³

2015

J Anesth Clin Res

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“…Twenty-two RCT 9-30 and 13 cohort studies [31][32][33][34][35][36][37][38][39][40][41][42][43] were evaluated (Table I). There were no case-control studies.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Thirty-nine studies (16 RCT, [10][11][12]14,[16][17][18][19][20][21]23,24,26,[28][29][30] ten cohort studies, [33][34][35][36][38][39][40][41][42][43] and 13 case series 45,[47][48][49][50][51][53][54][55][56][57][58][59][60] ) contained data on frequency of ADP or PDPH (Table I). Figures 1 to 3 summarize the meta-analyses of ADP and PDPH risks for different epidural and spinal needles.…”

Section: Dp and Pdph Ratesmentioning

confidence: 99%

“…For spinal needles, the duration of PDPH ranged from one to seven days. 15,22,32,34,[37][38][39]44 Further analysis of the data on onset and duration was not attempted as the data were confounded by differences in prophylactic and therapeutic interventions between studies and by uncertainty on the length of patient follow-up. Median patient follow-up was six days in the eight studies 9,17,27,31,33,37,39,49 that reported length of follow-up along with data on onset or duration of PDPH.…”

Section: Dp and Pdph Ratesmentioning

confidence: 99%

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PDPH is a common complication of neuraxial blockade in parturients: a meta-analysis of obstetrical studies

Choi

Galinski

Takeuchi

et al. 2003

Can J Anesth/J Can Anesth

334

182

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P Pu ur rp po os se e: : Postdural puncture headache (PDPH) is an iatrogenic complication of neuraxial blockade. We systematically reviewed the literature on parturients to determine the frequency, onset, and duration of PDPH. M Me et th ho od ds s: :Citations on PDPH in the obstetrical population were identified by computerized searches, citation review, and hand searches of abstracts and conference proceedings. Citations were included if they contained extractable data on frequency, onset, or duration of PDPH. Using meta-analysis, we calculated pooled estimates of the frequency of accidental dural puncture for epidural needles and pooled estimates of the frequencies of PDPH for epidural and spinal needles.R Re es su ul lt ts s: : Parturients have approximately a 1.5% [95% confidence interval (CI) 1.5% to 1.5%) risk of accidental dural puncture with epidural insertion. Of these, approximately half (52.1%; 95% CI, 51.4% to 52.8%) will result in PDPH. The risk of PDPH from spinal needles diminishes with small diameter, atraumatic needles, but is still appreciable (Whitacre 27-gauge needle 1.7%; 95% CI, 1.6% to 1.8%). PDPH occurs as early as one day and as late as seven days after dural puncture and lasts 12 hr to seven days. C Co on nc cl lu us si io on n: : PDPH is a common complication for parturients undergoing neuraxial blockade. Objectif : Les céphalées post-ponction durale (CPPD) sont une complication iatrogène du bloc neuraxial. Une revue systématique des publications sur les parturientes a permis de déterminer la fréquence, le délai d'installation et la durée des CPPD. Méthode : Les citations sur les CPPD dans la population obstétricale ont été repérées par des recherches informatisées, la revue des références et des recherches manuelles de résumés et de comptes rendus de conférences. Les références retenues devaient comporter des données sur la fréquence, le délai d'installation et la durée des

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