Abstract

KUCZKOWSKI, Krzysztof M. Post-dural puncture headache in pregnant women: What have we learned?. Rev. colomb. anestesiol. [online]. 2006, vol.34, n.4, pp.267-272. ISSN 0120-3347.

The obstetric patient is at particular risk of dural puncture (and the subsequent headache) because of sex, young age, and the widespread application of regional anesthesia. The incidence of epidural needle-induced post-dural puncture headache (PDPH) in pregnant women following dural puncture with a large bore needle has been reported to range 76-85%. Although a few measures have been proposed to prevent PDPH (intrathecal injection of saline, insertion of the epidural catheter into the subarachnoid space through the dural hole, none have been shown to work with certainty to date. This article reviews the latest developments aimed at prevention and treatment of this debilitating condition.

Keywords : Labor analgesia; epidural; combined spinal epidural; complications; dural puncture; post-dural puncture headache.

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