Postdural puncture headache in obstetrics

Česká verzia

Authors: Nosková Pavlína ^1,2; Bláha Jan ^1,2; Klozová Radka ^1,3; Seidlová Dagmar ^1,4; Štourač Petr ^1,5; Pařízek Antonín ⁶
Authors place of work: Expertní skupina porodnické anestezie a analgezie ČSARIM ¹; Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy v Prazea Všeobecná fakultní nemocnice v Praze ²; Klinika anesteziologie a resuscitace, 2. lékařská fakulta Univerzity Karlovy v Praze a Fakultní nemocnicev Motole ³; II. anesteziologicko-resuscitační oddělení Fakultní nemocnice Brno ⁴; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice Brno ⁵; Gynekologicko-porodnická klinika, 1. lékařská fakulta Univerzity Karlovy v Praze a Všeobecná fakultní nemocnice v Praze ⁶
Published in the journal: Anest. intenziv. Med., 25, 2014, č. 3, s. 194-202
Category: Anesthesiology - Review Article

Summary

Postdural puncture headache (PDPH) is a relatively common iatrogenic complication (about 1% of all neuroaxial punctures) in obstetrics. The reasons for higher incidence in pregnant women compared to the general patient population are mainly the physiological and pathophysiological differences in pregnant women, but also the increasing number of neuroaxial blockades used. Because untreated postdural puncture syndrome can result in fatal complications, the basic principle of treatment is a complex multimodal approach consisting of all available conservative and invasive therapies, adequate communication and psychological support of the patient. The aim of this article is to provide an overview and current views on the pathophysiology and treatment of this complication.

Keywords:
postdural puncture headache – obstetrics – Caesarean delivery – labour analgesia

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