Postdural puncture headache / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 136-143, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-34199
ABSTRACT
Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a postural headache that worsens with sitting or standing, and improves with lying down. Conservative therapies such as bed rest, hydration, and caffeine are commonly used as prophylaxis and treatment for this condition; however, no substantial evidence supports routine bed rest and aggressive hydration. An epidural blood patch is the most effective treatment option for patients with unsuccessful conservative management. Various other prophylactic and treatment interventions have been suggested. However, due to a lack of conclusive evidence supporting their use, the potential benefits of such interventions should be weighed carefully against the risks. This article reviews the current literature on the diagnosis, risk factors, pathophysiology, prevention, and treatment of PDPH.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Reposo en Cama
/
Cafeína
/
Punciones
/
Índice de Masa Corporal
/
Factores de Riesgo
/
Parche de Sangre Epidural
/
Diagnóstico
/
Cefalea Pospunción de la Duramadre
/
Cefalea
/
Decepción
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Factores de riesgo
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2017
Tipo del documento:
Artículo
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