Management of Post Dural Puncture Headache: An Evidence-Based Approach
รหัสดีโอไอ
Creator Lisa Sangkum
Title Management of Post Dural Puncture Headache: An Evidence-Based Approach
Contributor Prateep Lertmongkonaksorn
Publisher Faculty of Medicine Ramathibodi Hospital, Mahidol University
Publication Year 2561
Journal Title Ramathibodi Medical Journal
Journal Vol. 41
Journal No. 1
Page no. 82-94
Keyword Postdural puncture headache, Neuraxial anesthesia, Risk factors, Management of postdural puncture headache
URL Website https://www.tci-thaijo.org/index.php/ramajournal
Website title Ramathibodi Medical Journal
ISSN 0125-3611
Abstract Post dural puncture headache (PDPH) is one of the most common adverse events after neuraxial anesthesia. Typical symptoms of PDPH presents with worsening headache within 20 seconds after standing and resolving within 20 seconds of recumbency. PDPH can cause significant morbidity and mortality such as prolonged hospital stay, chronic headache or subdural hematoma. Since lot of treatments, such as cosyntropin or sphenopalatine ganglion block, has been proven to decrease the incidence of PDPH and rate of epidural blood patch (EBP). Therefore, this article aims to review current state of knowledge in this area and proposes an evidence-based practice guidance in term to manage when PDPH occurs.
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