Postdural Puncture Headache: Prevention

V.S. Fesenko

Abstract


Postdural puncture headache, a complication of puncture of the spinal dura mater, is a common side effect of spinal anesthesia and lumbar puncture. Its incidence can be reduced when using as thin needles as possible, with pencil-point tips instead of Quincke-point tips, by lateral orientation of Quincke-point bevel, and with stylet reinsertion after puncture. Drugs and hydration are less effective. Bed-rest is ineffective.

Keywords


spinal anesthesia; complications; prevention

References


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DOI: https://doi.org/10.22141/2224-0586.8.71.2015.79171

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