Treatment of obstetric post-dural puncture headache. Part 2: epidural blood patch

被引:58
|
作者
Russell, R. [1 ]
Laxton, C. [2 ]
Lucas, D. N. [3 ]
Niewiarowski, J. [1 ]
Scrutton, M. [4 ]
Stocks, G. [5 ]
机构
[1] Oxford Univ Hosp NHS Fdn Trust, Nuffield Dept Anaesthet, Oxford OX3 9DU, England
[2] North Bristol NHS Trust, Southmead Hosp, Dept Anaesthet, Bristol, Avon, England
[3] London North West Univ Healthcare NHS Trust, Dept Anaesthet, Northwick Pk Hosp, Harrow, Middx, England
[4] Univ Hosp Bristol NHS Fdn Trust, St Michaels Hosp, Dept Anaesthet, Bristol, Avon, England
[5] Imperial Coll Healthcare NHS Trust, Queen Charlottes & Chelsea Hosp, Dept Anaesthet, London, England
关键词
ACCIDENTAL DURAL PUNCTURE; SPINAL SUBDURAL-HEMATOMA; VENOUS SINUS THROMBOSIS; FACIAL-NERVE PARALYSIS; CEREBROSPINAL-FLUID; INTRATHECAL HEMATOMA; BACTERIAL-MENINGITIS; POSTPARTUM HEADACHE; REGIONAL ANALGESIA; AUTOLOGOUS BLOOD;
D O I
10.1016/j.ijoa.2018.12.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The 2009-12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. Despite suffering long-term headaches, neither woman was adequately followed-up after discharge from hospital. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Due to significant variation in the treatment of obstetric post-dural puncture headache, an Obstetric Anaesthetists' Association working group was set up to produce evidence-based guidelines to guide clinicians. These guidelines have been condensed into two review articles. In this second review, the role of an epidural blood patch is discussed using a question and answer format. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:104 / 118
页数:15
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