Post dural puncture headache following combined spinal epidural or epidural anaesthesia in obstetric patients

A retrospective review of obstetric anaesthesia charts was performed for all parturients receiving regional anaesthesia over a 22-month period. The incidence of headache, post dural puncture headache (PDPH) and various other complications of regional anaesthesia that had been prospectively assessed...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2001-12, Vol.29 (6), p.595-599
Main Authors: VAN DE VELDE, M, TEUNKENS, A, HANSSENS, M, VAN ASSCHE, F. A, VANDERMEERSCH, E
Format: Article
Language:English
Subjects:
Abdominal surgery. Urology. Gynecology. Obstetrics
Adult
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Epidural - adverse effects
Anesthesia, Epidural - instrumentation
Anesthesia, Obstetrical
Anesthesia, Spinal - adverse effects
Anesthesia, Spinal - instrumentation
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cesarean Section
Female
Headache - epidemiology
Headache - etiology
Humans
Labor, Obstetric
Medical sciences
Needles
Pregnancy
Puerperal Disorders - epidemiology
Puerperal Disorders - etiology
Retrospective Studies
Spinal Puncture - adverse effects
Spinal Puncture - instrumentation
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Summary:A retrospective review of obstetric anaesthesia charts was performed for all parturients receiving regional anaesthesia over a 22-month period. The incidence of headache, post dural puncture headache (PDPH) and various other complications of regional anaesthesia that had been prospectively assessed were noted, as was the anaesthetic technique used (epidural or combined spinal epidural (CSE)). PDPH was rare (0.44%) and occurred with similar frequency in those managed with either epidural or CSE anaesthesia or analgesia. The pencil-point spinal needle gauge (27 or 29) did not influence the incidence of PDPH. Following a CSE technique, the epidural catheter more reliably produced effective analgesia/anaesthesia as compared with a standard epidural technique (1.49% versus 3.18% incidence of replaced catheters respectively). We conclude, based on the results of this retrospective review, that CSE is acceptable with respect to the occurrence of PDPH and that it is possible it is advantageous in relation to the correct placement of the epidural catheter
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x0102900605