CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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To review the current research and formulate a rational approach to the cause, prevention and treatment of postdural puncture headache (PDPH). ⋯ The rate of PDPH after lumbar puncture can be minimized through strict attention to technique and the employment of a 25-gauge needle with the bevel parallel to the dural fibres. A reliable diagnosis and stepwise approach to treatment will minimize complications.
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To assess the effect of the waiting period before elective open-heart surgery on patient outcomes. ⋯ The results suggest that the wait before elective open-heart surgery had no effect on patient outcome after surgery in our institution. A policy of a short waiting period before elective open-heart surgery for patients whose condition is stable is safe and acceptable only if rapid access to medical and surgical treatment is available should it become necessary.