TY - JOUR
T1 - Treatment of obstetric post-dural puncture headache. Part 1
T2 - conservative and pharmacological management
AU - Russell, R.
AU - Laxton, C.
AU - Lucas, D. N.
AU - Niewiarowski, J.
AU - Scrutton, M.
AU - Stocks, G.
N1 - Copyright © 2019 Elsevier Ltd. All rights reserved.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - The 2009–12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. One woman received an epidural blood patch, the other did not, but both suffered with chronic headaches following discharge from hospital. Neither woman was adequately followed-up. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Surveys of clinical practice in the UK have revealed significant variation in anaesthetic practice in the management of obstetric post-dural puncture headache. To help provide guidance on treatment, the Obstetric Anaesthetists’ Association set up a working group to review the literature and produce evidence-based guidelines for management of obstetric post-dural puncture headache. These guidelines have been condensed into two review articles, the first of which covers conservative and pharmacological treatment.
AB - The 2009–12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. One woman received an epidural blood patch, the other did not, but both suffered with chronic headaches following discharge from hospital. Neither woman was adequately followed-up. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Surveys of clinical practice in the UK have revealed significant variation in anaesthetic practice in the management of obstetric post-dural puncture headache. To help provide guidance on treatment, the Obstetric Anaesthetists’ Association set up a working group to review the literature and produce evidence-based guidelines for management of obstetric post-dural puncture headache. These guidelines have been condensed into two review articles, the first of which covers conservative and pharmacological treatment.
UR - http://www.scopus.com/inward/record.url?scp=85060714114&partnerID=8YFLogxK
U2 - 10.1016/j.ijoa.2018.12.006
DO - 10.1016/j.ijoa.2018.12.006
M3 - Review article (Academic Journal)
C2 - 30711240
AN - SCOPUS:85060714114
SN - 0959-289X
VL - 38
SP - 93
EP - 103
JO - International Journal of Obstetric Anesthesia
JF - International Journal of Obstetric Anesthesia
ER -