Post-Dural Puncture Headache is a complication of dual puncture. Although the incidence of PDPH decreased significantly after attention was paid to it, the incidence of post-partum depression, postpartum chronic headache, and back pain increased, which seriously affected the breastfeeding rate and the choice of epidural analgesia during delivery. Therefore, relevant operators should continue to pay attention to the occurrence of PDPH. The diagnosis of PDPH has been updated and described in the International Headache Classification to identify PDPH promptly. In this paper, the diagnostic criteria, pathogenesis, risk factors, and treatment plan of PDPH were summarized. The treatment plan was described in detail from four approaches: drug therapy, acupuncture, nerve block, and lumen administration. The application of epidural blood patches in patients was described in detail, and the complications were reminded to help users prevent related adverse reactions in the process. Finally, the authors suggest that recumbent rest and active fluid replacement are ineffective in the treatment of PDPH. The use of epidural blood patches is a feasible strategy for severe headaches after a rupture of the dual. It is hoped that through the management of this case, the occurrence of PDPH can be effectively avoided so that its impact on patients is less and less.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 10, Issue 1) |
| DOI | 10.11648/j.ijacm.20221001.15 |
| Page(s) | 28-31 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
PDPH, Headache, Dural Puncture, Management
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APA Style
Ou Liao, Xianjie Zhang. (2022). Management of Post-Dural Puncture Headache in Obstetric Surgery. International Journal of Anesthesia and Clinical Medicine, 10(1), 28-31. https://doi.org/10.11648/j.ijacm.20221001.15
ACS Style
Ou Liao; Xianjie Zhang. Management of Post-Dural Puncture Headache in Obstetric Surgery. Int. J. Anesth. Clin. Med. 2022, 10(1), 28-31. doi: 10.11648/j.ijacm.20221001.15
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Download@article{10.11648/j.ijacm.20221001.15,
author = {Ou Liao and Xianjie Zhang},
title = {Management of Post-Dural Puncture Headache in Obstetric Surgery},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {10},
number = {1},
pages = {28-31},
doi = {10.11648/j.ijacm.20221001.15},
url = {https://doi.org/10.11648/j.ijacm.20221001.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20221001.15},
abstract = {Post-Dural Puncture Headache is a complication of dual puncture. Although the incidence of PDPH decreased significantly after attention was paid to it, the incidence of post-partum depression, postpartum chronic headache, and back pain increased, which seriously affected the breastfeeding rate and the choice of epidural analgesia during delivery. Therefore, relevant operators should continue to pay attention to the occurrence of PDPH. The diagnosis of PDPH has been updated and described in the International Headache Classification to identify PDPH promptly. In this paper, the diagnostic criteria, pathogenesis, risk factors, and treatment plan of PDPH were summarized. The treatment plan was described in detail from four approaches: drug therapy, acupuncture, nerve block, and lumen administration. The application of epidural blood patches in patients was described in detail, and the complications were reminded to help users prevent related adverse reactions in the process. Finally, the authors suggest that recumbent rest and active fluid replacement are ineffective in the treatment of PDPH. The use of epidural blood patches is a feasible strategy for severe headaches after a rupture of the dual. It is hoped that through the management of this case, the occurrence of PDPH can be effectively avoided so that its impact on patients is less and less.},
year = {2022}
}
TY - JOUR T1 - Management of Post-Dural Puncture Headache in Obstetric Surgery AU - Ou Liao AU - Xianjie Zhang Y1 - 2022/05/12 PY - 2022 N1 - https://doi.org/10.11648/j.ijacm.20221001.15 DO - 10.11648/j.ijacm.20221001.15 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 28 EP - 31 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20221001.15 AB - Post-Dural Puncture Headache is a complication of dual puncture. Although the incidence of PDPH decreased significantly after attention was paid to it, the incidence of post-partum depression, postpartum chronic headache, and back pain increased, which seriously affected the breastfeeding rate and the choice of epidural analgesia during delivery. Therefore, relevant operators should continue to pay attention to the occurrence of PDPH. The diagnosis of PDPH has been updated and described in the International Headache Classification to identify PDPH promptly. In this paper, the diagnostic criteria, pathogenesis, risk factors, and treatment plan of PDPH were summarized. The treatment plan was described in detail from four approaches: drug therapy, acupuncture, nerve block, and lumen administration. The application of epidural blood patches in patients was described in detail, and the complications were reminded to help users prevent related adverse reactions in the process. Finally, the authors suggest that recumbent rest and active fluid replacement are ineffective in the treatment of PDPH. The use of epidural blood patches is a feasible strategy for severe headaches after a rupture of the dual. It is hoped that through the management of this case, the occurrence of PDPH can be effectively avoided so that its impact on patients is less and less. VL - 10 IS - 1 ER -
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