Intrathecal catheter insertion during labour reduces the risk of postdural puncture headache
| Autor: | Kevin C. Dennehy, Ola P. Rosaeg |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Lidocaine Post-dural-puncture headache medicine.medical_treatment Tuohy needle Spinal Puncture Catheterization Fentanyl Pregnancy Risk Factors medicine Humans Caesarean section Anesthetics Local Injections Spinal Bupivacaine Labor Obstetric Catheter insertion Cesarean Section business.industry Incidence Headache General Medicine Delivery Obstetric Surgery Analgesia Epidural Analgesics Opioid Catheter Anesthesiology and Pain Medicine Needles Anesthesia Analgesia Obstetrical Female Dura Mater medicine.symptom Labor Stage First business medicine.drug |
| Zdroj: | Canadian Journal of Anaesthesia. 45:42-45 |
| ISSN: | 1496-8975 0832-610X |
| DOI: | 10.1007/bf03011991 |
| Popis: | To describe the anaesthetic management and report the incidence of PDPH in three parturients who had experienced accidental durai puncture during labour and the subsequent deliberate intrathecal insertion of an epidural catheter. Inadvertent durai puncture with a 16-gauge Tuohy needle occurred during the first stage of labour at 3–4 cm cervical dilatation in all three women. The 20-gauge epidural catheter was immediately inserted into the subarachnoid space after accidental durai penetration. Intermittent intrathecal injections of lidocaine or bupivacaine with fentanyl were administered to provide analgesia during labour and delivery. Two of the women had spontaneous vaginal deliveries, whereas Caesarean section was performed in one case due to acute fetal distress during the second stage of labour. The intrathecal catheter was left in-situ for 13–19 hr after delivery and the women were questioned daily for symptoms of PDPH. None of the three women developed PDPH after dural puncture and intrathecal catheterisation with the epidural catheter. Immediate intrathecal insertion of the epidural catheter after accidental durai puncture during labour proved to be an effective prophylactic technique to prevent PDPH in these three parturients. |
| Databáze: | OpenAIRE |
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