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Postdural puncture headache in obstetrics


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


Zdroje

1. Chan, T. M., Ahmed, E., Yentis, S., M., Holdcroft, A. Obstetric Anaesthetists A, Group NS: Postpartum headaches: summary report of the National Obstetric Anaesthetic Database (NOAD) 1999. International journal of obstetric anesthesia, 2003, 12 (2), p. 107–112.

2. Reynolds, F. Epidural analgesia during childbirth. Minimising headache after dural puncture. BMJ, 1993, 307 (6895), p. 63–64.

3. Ramaswamy, K. K., Burumdayal, A., Bhardwaj, M., Russell, R.A UK survey of the management of intrathecal catheters. International journal of obstetric anesthesia, 2013, 22 (3), p. 257–259.

4. Liu, S., Carpenter, R. L., Neal, J. M. Epidural anesthesia and analgesia. Their role in postoperative outcome. Anesthesiology, 1995, 82 (6), p. 1474–1506.

5. Evans, R. W. Complications of lumbar puncture. Neurol. Clin. 1998, 16 (1), p. 83–105.

6. Ghaleb, A. Postdural puncture headache. Anesthesiol. Res. Pract., 2010.

7. Costigan, S. N., Sprigge, J. S. Dural puncture: the patients‘ perspective. A patient survey of cases at a DGH maternity unit 1983-1993. Acta Anaesthesiologica Scandinavica, 1996, 40 (6), p. 710–714.

8. Vandam, L. D., Dripps, R. D. Long-term follow-up of patients who received 10,098 spinal anesthetics; syndrome of decreased intracranial pressure (headache and ocular and auditory difficulties). J. Am. Med. Assoc., 1956, 161 (7), p. 586–591.

9. Rando, T. A., Fishman, R. A. Spontaneous intracranial hypotension: report of two cases and review of the literature. Neurology, 1992, 42 (3 Pt 1), p. 481–487.

10. Turnbull, D. K., Shepherd, D. B. Post-dural puncture head-ache: pathogenesis, prevention and treatment. British Journal of anaesthesia, 2003, 91 (5), p. 718–729.

11. Grant, R., Condon, B., Hart, I., Teasdale, G. M. Changes in intracranial CSF volume after lumbar puncture and their relationship to post-LP headache. Journal of Neurology, Neurosurgery, and Psychiatry, 1991, 54 (5), p. 440–442.

12. Goldszmidt, E., Kern, R., Chaput, A., Macarthur, A. The incidence and etiology of postpartum headaches: a prospective cohort study. Can. J. Anaesth., 2005, 52 (9), p. 971–977.

13. Sances, G., Granella, F., Nappi, R. E., Fignon, A., Ghiotto, N.,Polatti, F., Nappi, G. Course of migraine during pregnancy and postpartum: a prospective study. Cephalalgia, 2003, 23 (3), p. 197–205.

14. Stella, C. L., Jodicke, C. D., How, H. Y., Harkness, U. F.,Sibai, B. M. Postpartum headache: is your work-up complete? Am. J. Obstet. Gynecol., 2007, 196 (4), p. 318 e311–317.

15. Macgregor, E. A. Headache in pregnancy. Continuum (MinneapMinn), 2014, 20 (1 Neurology of Pregnancy), p. 128–147.

16. Lynch, J., Krings-Ernst, I., Strick, K., Topalidis, K., Schaaf, H.,Fiebig, M. Use of a 25-gauge Whitacre needle to reduce the incidence of postdural puncture headache. British Journal of Anaesthesia, 1991, 67 (6), p. 690–693.

17. Chohan, U., Hamdani, G. A. Post dural puncture headache.J. Pak. Med. Assoc., 2003, 53 (8), p. 359–367.

18. Spencer, H. C. Postdural puncture headache: what matters in technique. Reg. Anesth. Pain. Med., 1998, 23 (4), p. 374–379, discussion 384–377.

19. Ravindran, R. S., Viegas, O. J., Tasch, M. D., Cline, P. J., Deaton, R. L., Brown, T. R. Bearing down at the time of delivery and the incidence of spinal headache in parturients. Anesthesia and analgesia, 1981, 60 (7), p. 524–526.

20. Flaatten, H., Felthaus, J., Kuwelker, M., Wisborg, T. Postural post-dural puncture headache. A prospective randomised study and a meta-analysis comparing two different 0.40 mm O.D. (27 g) spinal needles. Acta anaesthesiologica Scandinavica, 2000, 44 (6), p. 643–647.

21. Halpern, S., Preston, R. Postdural puncture headache and spinal needle design. Metaanalyses. Anesthesiology, 1994, 81 (6), p. 1376–1383.

22. Lambert, D. H., Hurley, R. J., Hertwig, L., Datta, S. Role of needle gauge and tip configuration in the production of lumbar puncture headache. Reg. Anesth., 1997, 22 (1), p. 66–72.

23. Sibai, B. M., Stella, C. L. Diagnosis and management of atypical preeclampsia-eclampsia. American Journal of Obstetrics and Gynekology, 2009, 200 (5), p. 481 e481–487.

24. Norris, M. C., Leighton, B. L., DeSimone, C. A. Needle bevel direction and headache after inadvertent dural puncture. Anesthesiology, 1989, 70 (5), p. 729–731.

25. Reina, M. A., Dittmann, M., Lopez Garcia, A., van Zundert, A.New perspectives in the microscopic structure of human dura mater in the dorsolumbar region. Reg. Anesth., 1997, 22(2), p. 161-166.

26. Ready, L. B., Cuplin, S., Haschke, R. H., Nessly, M. Spinal needle determinants of rate of transdural fluid leak. Anesthesia and analgesia, 1989, 69(4), p. 457-460.

27. Reina, M. A., Lopez-Garcia, A., de Andres-Ibanez, J. A., Dittmann, M., Cascales, M. R., del Cano, M. C., Daneri, J., Zambrano, O. Electron microscopy of the lesions produced in the human dura mater by Quincke beveled and Whitacre needles. Revista espanola de anestesiologia y reanimacion, 1997, 44 (2), p. 56–61.

28. Reina, M. A., Lee, R. A.: Prevention of post-dural puncture headache (PDPH) in parturients. Contributions from experimental research. Acta anaesthesiologica Scandinavica, 2013, 57 (7), p. 947–949.

29. Seeberger, M. D, Kaufmann, M., Staender, S., Schneider, M., Scheidegger, D. Repeated dural punctures increase the incidence of postdural puncture headache. Anesthesia and analgesia, 1996, 82 (2), p. 302–305.

30. Flaatten, H., Rodt, S. A., Vamnes, J., Rosland, J., Wisborg, T.,Koller, M. E. Postdural puncture headache. A comparison between 26- and 29-gauge needles in young patients. Anaesthesia, 1989, 44 (2), p. 147–149.

31. Hoskin, M. F. Spinal anaesthesia – the current trend towards narrow gauge atraumatic (pencil point) needles. Case reports and review. Anaesth. Intensive Care, 1998, 26 (1), p. 96–106.

32. Aida, S., Taga, K., Yamakura, T., Endoh, H., Shimoji, K. Headache after attempted epidural block: the role of intrathecal air. Anesthesiology, 1998, 88 (1), p. 76–81.

33. Kuczkowski, K. M. Post-dural puncture headache, intracranial air and obstetric anesthesia. Anaesthesist, 2003, 52 (9), p. 798–800.

34. Nafiu, O. O., Urquhart, J. C. Pneumocephalus with headache complicating labour epidural analgesia: should we still be using air? International journal of obstetric anesthesia, 2006, 15 (3), p. 237–239.

35. Velickovic, I. A., Pavlik, R. Pneumocephalus complicated by postdural puncture headache after unintentional dural puncture. Anesthesia and analgesia, 2007, 104 (3), p. 747–748.

36. Bradbury, C. L., Singh, S. I., Badder, S. R., Wakely, L. J., Jones, P. M. Prevention of post-dural puncture headache in parturients: a systematic review and meta-analysis. Acta anaesthesiologica Scandinavica, 2013, 57 (4), p. 417–430.

37. Bart, A. J., Wheeler, A. S. Comparison of epidural saline placement and epidural blood placement in the treatment of post-lumbar-puncture headache. Anesthesiology, 1978, 48 (3), p. 221–223.

38. Crawford, J. S. The prevention of headache consequent upon dural puncture. British Journal of Anaesthesia, 1972, 44 (6), p. 598–600.

39. Charsley, M. M., Abram, S. E. The injection of intrathecal normal saline reduces the severity of postdural puncture headache. Reg Anesth Pain Med, 2001, 26 (4), p. 301–305.

40. Baysinger, C. L., Pope, J. E., Lockhart, E. M., Mercaldo, N. D.The management of accidental dural puncture and postdural puncture headache: a North American survey. Journal of Clinical Anesthesia, 2011, 23 (5), p. 349–360.

41. Gunaydin, B., Karaca, G. Prevention strategy for post dural puncture headache. Acta Anaesthesiol. Belg., 2006, 57 (2), p. 163–165.

42. Nath, G. S. M. Headache in parturient: Pathophysiology and management of post-dural puncture headache. Journal of Obstetric Anaesthesia and Critical Care, 2011, 1 (2), p. 57–66.

43. Kaddoum, R., Motlani, F., Kaddoum, R. N., Srirajakalidindi, A.,Gupta, D., Soskin, V. Accidental dural puncture, postdural puncture headache, intrathecal catheters, and epidural blood patch: revisiting the old nemesis. Journal of Anesthesia, 2013.

44. Heesen, M., Klohr, S., Rossaint, R., Walters, M., Straube, S., van de Velde, M. Insertion of an intrathecal catheter following accidental dural puncture: a meta-analysis. International journal of obstetric anesthesia, 2013, 22 (1), p. 26–30.

45. Gunaydin, B., Camgoz, N., Karaca, G., Gungor, I., Celebi, H. Survey of Turkish practice evaluating the management of post-dural puncture headache in the obstetric population (1). Acta Anaesthesiol. Belg., 2008, 59 (1), p. 7–12; quiz 13–14.

46. Newman, M. J., Cyna, A. M. Immediate management of inadvertent dural puncture during insertion of a labour epidural: a survey of Australian obstetric anaesthetists. Anaesth. Intensive Care, 2008, 36 (1), p. 96–101.

47. Cohen, S., Hunter, C. W., Sakr, A., Hijazi, R. H. Meningitis following intrathecal catheter placement after accidental dural puncture. International Journal of Obstetric Anesthesia, 2006, 15 (2), p. 172.

48. Gaiser, R. R. Postdural puncture headache: a headache for the patient and a headache for the anesthesiologist. Current opinion in anaesthesiology, 2013, 26 (3), p. 296–303.

49. Zeidan, A., Farhat, O., Maaliki, H., Baraka, A. Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature. International journal of obstetric anesthesia, 2006, 15 (1), p. 50–58.

50. Cochrane Database Syst Rev 2013 Jul 12;7:CD009199 doi: 101002/14651858CD009199pub2.

51. Arevalo-Rodriguez, I., Ciapponi, A., Munoz, L., Roque i Figuls, M., Bonfill Cosp, X. Posture and fluids for preventing post-dural puncture headache. The Cochrane database of systematic reviews 2013, 7:CD009199.

52. Esmaoglu, A., Akpinar, H., Ugur, F. Oral multidose caffeine-paracetamol combination is not effective for the prophylaxis of postdural puncture headache. Journal of Clinical Anesthesia, 2005, 17 (1), p. 58–61.

53. Scavone, B. M., Wong, C. A., Sullivan, J. T., Yaghmour, E., Sherwani, S. S., McCarthy, R. J. Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture. Anesthesiology, 2004, 101 (6), p. 1422–1427.

54. Camann, W. R., Murray, R. S., Mushlin, P. S., Lambert, D. H. Effects of oral caffeine on postdural puncture headache. A double-blind, placebo-controlled trial. Anesthesia and Analgesia, 1990, 70 (2), p. 181–184.

55. Basurto Ona, X., Uriona, Tuma, S. M., Martinez Garcia, L., Sola, I., Bonfill Cosp, X. Drug therapy for preventing post-dural puncture headache. The Cochrane database of systematic reviews, 2013, 2:CD001792.

56. Halker, R. B., Demaerschalk, B. M., Wellik, K. E., Wingerchuk, D. M., Rubin, D. I., Crum, B. A., Dodick, D. W. Caffeine for the prevention and treatment of postdural puncture headache: debunking the myth. Neurologist, 2007, 13 (5), p. 323–327.

57. Carp, H., Singh, P. J., Vadhera, R., Jayaram, A. Effects of the serotonin-receptor agonist sumatriptan on postdural puncture headache: report of six cases. Anesthesia and Analgesia, 1994, 79 (1), p. 180–182.

58. Hodgson, C., Roitberg-Henry, A. The use of sumatriptan in the treatment of postdural puncture headache. Anaesthesia, 1997, 52 (8), p. 808.

59. Carter, B. L., Pasupuleti, R. Use of intravenous cosyntropin in the treatment of postdural puncture headache. Anesthesiology, 2000, 92 (1), p. 272–274.

60. Neves, J. F., Vieira, V. L., Saldanha, R. M., Vieira Fde. A., Coutinho Neto, M., Magalhaes, M. G., Neves, M. M., Araujo, F. P.Hydrocortisone treatment and prevent post-dural puncture head-ache: case reports. Rev. Bras. Anestesiol., 2005, 55 (3), p. 343–349.

61. Noyan Ashraf, M. A., Sadeghi, A., Azarbakht, Z., Salehi, S., Hamediseresht, E. Evaluation of intravenous hydrocortisone in reducing headache after spinal anesthesia: a double blind controlled clinical study [corrected]. Middle East J. Anesthesiol., 2007, 19 (2), p. 415–422.

62. Boonmark, P., Boonmark, S. Epidural blood patching for preventing and treating post-dural puncture headache. The Cochrane database of systematic reviews, 2010, CD001791.

63. Rucklidge, O. M. All patients with a postdural puncture headache should receive an epidural blood patch. International Journal of Obstetric Anesthesia, 2014.

64. Agerson, A. N., Scavone, B. M. Prophylactic epidural bloodpatch after unintentional dural puncture for the prevention of postdural puncture headache in parturients. Anesthesia and Analgesia, 2012, 115 (1), p. 133–136.

65. Kokki, M., Sjovall, S., Keinanen, M., Kokki, H. The influence of timing on the effectiveness of epidural blood patches in parturients. International Journal of Obstetric Anesthesia, 2013, 22 (4), p. 303–309.

66. Paech, M. J., Doherty, D. A., Christmas, T., Wong, C. A. Epidural Blood Patch Trial G: The volume of blood for epidural blood patch in obstetrics: a randomized, blinded clinical trial. Anesthesia and Analgesia, 2011, 113 (1), p. 126–133.

67. Safa-Tisseront, V., Thormann, F., Malassine, P., Henry, M., Riou, B., Coriat, P., Seebacher, J. Effectiveness of epiduralblood patch in the management of post-dural puncture headache. Anesthesiology, 2001, 95 (2), p. 334–339.

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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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