Abstract | STUDY OBJECTIVE: To perform a prospective audit of the modified guideline for the management postdural puncture headache (PDPH) and present the results at 6 months. DESIGN: Prospective single-center audit. SETTING: University hospital. PATIENTS: 24 adult, ASA physical status 1, 2, and 3 patients presenting with PDPH in both the obstetric and nonobstetric setting. INTERVENTIONS: MEASUREMENTS: RESULTS: 24 patients were audited. Nineteen patients failed conservative management and were offered both GONB and EBP. One patient chose the EBP and was successfully treated. Of the 18 patients who received the GONB, headache resolved in 12 patients (66%). Six patients had a partial response to nerve block and were treated with an EBP. CONCLUSION: Greater occipital nerve block with dexamethasone may have a role in the management of patients presenting with PDPH, who have failed conservative management. We present the results of our prospective audit and review the literature on GONB in the management of PDPH.
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Authors | G Niraj, Aditi Kelkar, Vandana Girotra |
Journal | Journal of clinical anesthesia
(J Clin Anesth)
Vol. 26
Issue 7
Pg. 539-44
(Nov 2014)
ISSN: 1873-4529 [Electronic] United States |
PMID | 25441250
(Publication Type: Journal Article, Review)
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Copyright | Copyright © 2014 Elsevier Inc. All rights reserved. |
Chemical References |
- Anesthetics, Local
- Lidocaine
|
Topics |
- Adult
- Analgesia, Epidural
(adverse effects)
- Analgesia, Obstetrical
(adverse effects)
- Anesthetics, Local
(administration & dosage)
- Blood Patch, Epidural
- England
- Female
- Humans
- Lidocaine
(administration & dosage)
- Medical Audit
(methods)
- Nerve Block
(methods, standards)
- Post-Dural Puncture Headache
(etiology, therapy)
- Practice Guidelines as Topic
- Pregnancy
- Prospective Studies
- Severity of Illness Index
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