All patients with a postdural puncture headache should receive

Int J Obstet Anesth · May 2014

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All patients with a postdural puncture headache should receive an epidural blood patch.

Postdural puncture headache (PDPH) is an important complication of obstetric epidural anaesthesia and analgesia. Though often self-limiting, PDPH is unpleasant, at times incapacitating, and associated with complications, some of which are serious. ⋯ The epidural blood patch (EBP) has been used for PDPH treatment for over 50 years.(1) It is probably the most efficacious of therapies, although this is unproven, and plays an important part in the management of this condition.(2) However, PDPH is often complex, of variable severity and duration, and merits a cautious and individualized approach to its diagnosis and treatment. An EBP may be part of that treatment but administering it to all women with PDPH is not the optimal management approach.

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- M W M Rucklidge.
- Department of Anaesthesia, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. Electronic address: Matthew.rucklidge@nhs.net.
- Int J Obstet Anesth. 2014 May 1;23(2):171-4.
AbstractPostdural puncture headache (PDPH) is an important complication of obstetric epidural anaesthesia and analgesia. Though often self-limiting, PDPH is unpleasant, at times incapacitating, and associated with complications, some of which are serious. Despite this, treatment options are few and of limited efficacy. The epidural blood patch (EBP) has been used for PDPH treatment for over 50 years.(1) It is probably the most efficacious of therapies, although this is unproven, and plays an important part in the management of this condition.(2) However, PDPH is often complex, of variable severity and duration, and merits a cautious and individualized approach to its diagnosis and treatment. An EBP may be part of that treatment but administering it to all women with PDPH is not the optimal management approach.Copyright © 2013 Elsevier Ltd. All rights reserved.

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All patients with a postdural puncture headache should receive an epidural blood patch.

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