• Rev Esp Anestesiol Reanim · Dec 2004

    Review

    [Effectiveness of epidural administration of saline solutions to prevent or treat postdural puncture headache].

    • L M Vaquero Roncero, F J Sánchez Montero, and C Muriel Villoria.
    • Servicio de Anestesiología y Reanimación, Hospital Clinico Universitario de Salamanca. luismariovaquero@yahoo.es
    • Rev Esp Anestesiol Reanim. 2004 Dec 1;51(10):589-94.

    AbstractEpidural anesthesia is the most versatile and widely used of the techniques for regional anesthesia. The most common complication of epidural or spinal anesthesia is postdural puncture headache. The loss of cerebrospinal fluid through the hole can be an important causative factor of this cephalalgia. Of the many methods recommended for preventing and treating postdural puncture headache, one is bolus administration or infusion of saline solution into the epidural space, by which both epidural and subarachnoid pressures are increased. We have reviewed the literature evaluating the effectiveness of this technique from 1967 to 2004, using the following search terms: anesthesia, spinal; anesthesia, epidural; analgesia, epidural; headache; postdural puncture treatment or prophylaxis; epidural injection; epidural saline. Few articles were found. The studies had small samples and most did not include a control group. The doses and methods of epidural administration of saline solutions were highly variable and the results were often contradictory. We conclude that using this technique to prevent and/or treat postdural puncture headache is difficult to justify.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.