Management of postdural puncture headache by epidural saline delivered with a patient-controlled pump - A case report

Shih Kai Liu; Kuen Bao Chen; Rick Sai Chuen Wu; Bih Chem Lin; Chia Sheng Chang; Yu Cheng Liu; Chih Jen Hung

Management of postdural puncture headache by epidural saline delivered with a patient-controlled pump - A case report

Shih Kai Liu, Kuen Bao Chen, Rick Sai Chuen Wu, Bih Chem Lin, Chia Sheng Chang, Yu Cheng Liu, Chih Jen Hung^*

^*Corresponding author for this work

China Medical University Taichung

Research output: Contribution to journal › Journal Article › peer-review

9 Scopus citations

Abstract

Unintentional dural puncture is the most frequent cause of postdural puncture headache (PDPH) in epidural anesthesia and analgesia. Conservative treatments of PDPH include bed rest, oral analgesics, and hydration. When conservative measures fail, epidural blood patch is an effective substitute. However, epidural blood patch carries some risks, such as subdural hematoma, pneumocephalus, exacerbation of PDPH and new dural puncture. Many patients may refuse the procedure due to the risks involved. We describe a female patient who had her PDPH successfully treated with epidural saline delivered by a patient-controlled analgesia device (Abbott Pain Management-APM) without molestation of her daily activities.

Original language	English
Pages (from-to)	227-230
Number of pages	4
Journal	Ma zui xue za zhi = Anaesthesiologica Sinica
Volume	44
Issue number	4
State	Published - 12 2006
Externally published	Yes

Keywords

Analgesi, patient-controlled
Headache
Injections, epidural: Normal saline
Spinal puncture

Cite this

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abstract = "Unintentional dural puncture is the most frequent cause of postdural puncture headache (PDPH) in epidural anesthesia and analgesia. Conservative treatments of PDPH include bed rest, oral analgesics, and hydration. When conservative measures fail, epidural blood patch is an effective substitute. However, epidural blood patch carries some risks, such as subdural hematoma, pneumocephalus, exacerbation of PDPH and new dural puncture. Many patients may refuse the procedure due to the risks involved. We describe a female patient who had her PDPH successfully treated with epidural saline delivered by a patient-controlled analgesia device (Abbott Pain Management-APM) without molestation of her daily activities.",

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author = "Liu, {Shih Kai} and Chen, {Kuen Bao} and Wu, {Rick Sai Chuen} and Lin, {Bih Chem} and Chang, {Chia Sheng} and Liu, {Yu Cheng} and Hung, {Chih Jen}",

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AU - Liu, Shih Kai

AU - Chen, Kuen Bao

AU - Wu, Rick Sai Chuen

AU - Lin, Bih Chem

AU - Chang, Chia Sheng

AU - Liu, Yu Cheng

AU - Hung, Chih Jen

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AB - Unintentional dural puncture is the most frequent cause of postdural puncture headache (PDPH) in epidural anesthesia and analgesia. Conservative treatments of PDPH include bed rest, oral analgesics, and hydration. When conservative measures fail, epidural blood patch is an effective substitute. However, epidural blood patch carries some risks, such as subdural hematoma, pneumocephalus, exacerbation of PDPH and new dural puncture. Many patients may refuse the procedure due to the risks involved. We describe a female patient who had her PDPH successfully treated with epidural saline delivered by a patient-controlled analgesia device (Abbott Pain Management-APM) without molestation of her daily activities.

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KW - Injections, epidural: Normal saline

KW - Spinal puncture

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Management of postdural puncture headache by epidural saline delivered with a patient-controlled pump - A case report

Abstract

Keywords

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