Preventing Post-Lumbar Puncture Headache

被引：18

作者：

Cognat, Emmanuel ^{[1
,2
]}

Koehl, Berengere ^{[3
]}

Lilamand, Matthieu ^{[1
,2
,3
,4
]}

Goutagny, Stephane ^{[5
]}

Belbachir, Anissa ^{[6
]}

de Charentenay, Louise ^{[6
]}

Guiddir, Tamazoust ^{[7
]}

Zetlaoui, Paul ^{[8
]}

Roos, Caroline ^{[9
]}

Paquet, Claire ^{[1
,2
]}

机构：

[1] Univ Paris, INSERM, UMRS 1144, Paris, France

[2] AP HP, Ctr Neurol Cognit, Site Lariboisiere Fernand Widal Paris, Paris, France

[3] AP HP, Hematol Unit, Ctr Sickle Cell Dis, Site Robert Debre, Paris, France

[4] AP HP, Dept Geriatrie, Sites Bichat & Bretonneau, Paris, France

[5] AP HP, Serv Neurochirurg, Site Beaujon, Clichy, France

[6] AP HP, Serv Anesthesie Reanimat, UF Douleur, Site Cochin, Paris, France

[7] AP HP, Serv Pediat, Site Bicetre, Le Kremlin Bicetre, France

[8] AP HP, Serv Anesthesie Reanimat, Site Bicetre, Le Kremlin Bicetre, France

[9] AP HP, Ctr Urgence Cephalees, Site Lariboisiere Fernand Widal, Paris, France

来源：

ANNALS OF EMERGENCY MEDICINE | 2021年 / 78卷 / 03期

关键词：

TECHNOLOGY-ASSESSMENT SUBCOMMITTEE; LUMBAR PUNCTURE; ATRAUMATIC NEEDLES; AMERICAN-ACADEMY; WHITACRE; CHILDREN; QUINCKE; TRIAL; THERAPEUTICS; MULTICENTER;

D O I：

10.1016/j.annemergmed.2021.02.019

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Post-lumbar puncture headache is the main adverse event from lumbar puncture and occurs in 3.5% to 33% of patients, causing functional and socio-professional disability. We searched the post-lumbar puncture headache literature and, based on this review and personal expertise, identified and addressed 19 frequently asked questions regarding post-lumbar puncture headache risk factors and prevention. Among the nonmodifiable factors, older age is associated with a lower incidence of post-lumbar puncture headache, while female sex, lower body mass index, and history of headache might be associated with increased risk. The use of atraumatic, noncutting needles is the most effective intervention for post-lumbar puncture headache prevention. These needles are not more difficult to use than cutting needles. Other commonly recommended measures (eg, fluid supplementation, caffeine) appear unhelpful, and some (eg, bed rest) may worsen post-lumbar puncture headache.

引用

页码：443 / 450

页数：8

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