Postdural puncture headache: The role of prophylactic epidural blood patch

被引：5
作者：
Vasdev G.M.S. [1 ]
Southern P.A. [1 ]
机构：
[1] Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN
来源：
Current Pain and Headache Reports | 2001年 / 5卷 / 3期
关键词：
Dural Puncture; Epidural Abscess; Epidural Analgesia; Epidural Blood Patch; Epidural Catheter;
D O I：
10.1007/s11916-001-0044-8
中图分类号：
学科分类号：
摘要：
Prophylactic epidural blood patch may prevent postdural puncture headache that develops after intentional or inadvertent dural puncture. However, despite earlier reports that this procedure was of value, subsequent studies have failed to show it has significant advantages over delayed blood patch. Reports that were supportive of this technique were based on nonrandomized observational studies with significant selective bias. At the present time, most centers do not routinely offer prophylactic blood patches, and those that do report a variable success rate. A recent case study of permanent neurologic deficit after prophylactic epidural blood patch has also raised some concern about the safety of this prophylactic technique. © 2001, Current Science Inc.
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页码：281 / 283
页数：2
相关论文
共 30 条
  • [1] Loeser E.A., Hill G.E., Bennett G.M., Sederberg J.H., Time versus success rate for epidural blood patch, Anesthesiology, 49, pp. 147-148, (1978)
  • [2] Palahniuk R.J., Cumming M., Prophylactic blood patch does not prevent postlumbar puncture headache, Can Anaesth Soc J, 26, pp. 132-133, (1979)
  • [3] Quaynor H., Corbey M., Extradural blood patch. Why delay?, Br J Anaesth, 57, pp. 538-540, (1985)
  • [4] Cheek T.G., Bannner R., Sauter J., Gutsche B.B., Prophylactic blood patch is effective, Br J Anaesth, 61, pp. 340-342, (1988)
  • [5] Berger C.W., Crosby E.T., Grodecki W., North American survey of the management of dural puncture occurring during labour epidural analgesia, Can J Anaesth, 45, pp. 110-114, (1998)
  • [6] Duffy P.J., Crosby E.T., The epidural blood patch. Resolving controversies, Can J Anesth, 46, pp. 878-886, (1999)
  • [7] Vandam L.D., Dripps R.D., Long-term follow-up of patients who received 10,098 spinal anesthetics, JAMA, 161, pp. 586-591, (1956)
  • [8] Costigan S.N., Sprigge J.S., Dural puncture: the patients’ perspective. A patient survey of cases at a DGH maternity unit 1983–1993, Acta Anaesthesiol Scand, 40, pp. 710-714, (1996)
  • [9] Verauteren M.P., Hoffmann V.H., Metens E., Et al., Seven year review of requests for epidural blood patches for headache after dural puncture: patterns of referral and effectiveness of blood patches, Eur J Anaesth, 16, pp. 298-303, (1999)
  • [10] Smedstad K.G., Dealing with post-dural puncture headache: is it different in obstetrics, Can J Anaesth, 45, pp. 6-9, (1998)
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