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Chronic consequences of accidental dural puncture and postdural puncture headache in obstetric anaesthesia - sieving through the evidence.
Curr Opin Anaesthesiol
October 2024
Department of Anesthesiology and Intensive Care Medicine, Women's Wellness and Research Centre, Hamad Medical Corporation, Doha, Qatar.
Purpose Of Review: Accidental dural puncture (ADP) and postdural puncture headache (PDPH) are relatively common complications of neuraxial anaesthesia and analgesia in obstetrics. Both may result in acute and chronic morbidity. This review intends to discuss the chronic implications of ADP and PDPH and raise awareness of severe and potentially life-threatening conditions associated with them.
View Article and Find Full Text PDFThe Suprainguinal Fascia Iliaca Block Prolonging Spinal Anesthesia Duration.
Cureus
July 2024
Department of Anesthesiology, Sengkang General Hospital, Singapore, SGP.
Spinal anesthesia is commonly used for lower limb procedures, its duration may be limited with potential complications due to high doses of local anesthetic. This study describes the technique and experience of using suprainguinal fascia iliaca block (SIFI) as an adjunct to spinal anesthesia in an elderly patient undergoing lower extremity surgery. The case presented here involves an 81-year-old female undergoing hip surgery, where a SIFI block was performed prior to the administration of spinal anesthesia.
View Article and Find Full Text PDFDiagnostic and therapeutic insights in individuals with persistent post-dural puncture headache: A cross-sectional study.
Headache
September 2024
Department of Neurology, Medical University of Vienna, Vienna, Austria.
Background: Post-dural puncture headache (PDPH) is a frequent complication following lumbar puncture, epidural analgesia, or neuraxial anesthesia. The International Classification of Headache Disorders, third edition categorizes PDPH as a self-limiting condition; however, emerging evidence, including our findings, suggests that PDPH can have a prolonged course, challenging this traditional view.
Objectives: To elucidate the diagnostic characteristics and treatment outcomes of persistent PDPH (pPDPH), offering insights into its demographic profiles and diagnostic features.
A causative role for remote dural puncture and resultant arachnoid bleb in new daily persistent headache: A case report.
Headache
July 2023
Department of Anesthesia, Stanford University, Palo Alto, California, USA.
A 24-year-old woman experienced a postdural puncture headache following a labor epidural, recovered following bedrest, and was then without headache for 12 years. She then experienced sudden onset of daily, holocephalic headache persisting for 6 years prior to presentation. Pain reduced with prolonged recumbency.
View Article and Find Full Text PDFNarrative review of peripheral nerve blocks for the management of headache.
Headache
October 2022
Headache Division, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Objective: To provide an overview of the current available literature on peripheral nerve blocks for the management of migraine and other headache disorders in adults.
Background: Peripheral nerve blocks have been commonly performed in the headache practice for migraine, cluster headache, occipital neuralgia, and other headache disorders, despite a paucity of evidence supporting their use historically. In the past decade, there has been an effort to explore the efficacy and safety of peripheral nerve blocks for the management of headache, with the greatest interest centered around greater occipital blocks.
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