Management practices for postdural puncture headache in obstetrics: a prospective, international, cohort study

Επιστημονική δημοσίευση - Άρθρο Περιοδικού uoadl:3103506 74 Αναγνώσεις

Μονάδα:
Ερευνητικό υλικό ΕΚΠΑ
Τίτλος:
Management practices for postdural puncture headache in obstetrics: a prospective, international, cohort study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Accidental dural puncture is an uncommon complication of epidural analgesia and can cause postdural puncture headache (PDPH). We aimed to describe management practices and outcomes after PDPH treated by epidural blood patch (EBP) or no EBP. Methods: Following ethics committee approval, patients who developed PDPH after accidental dural puncture were recruited from participating countries and divided into two groups, those receiving EBP or no EBP. Data registered included patient and procedure characteristics, headache symptoms and intensity, management practices, and complications. Follow-up was at 3 months. Results: A total of 1001 patients from 24 countries were included, of which 647 (64.6%) received an EBP and 354 (35.4%) did not receive an EBP (no-EBP). Higher initial headache intensity was associated with greater use of EBP, odds ratio 1.29 (95% confidence interval 1.19–1.41) per pain intensity unit increase. Headache intensity declined sharply at 4 h after EBP and 127 (19.3%) patients received a second EBP. On average, no or mild headache (numeric rating score≤3) was observed 7 days after diagnosis. Intracranial bleeding was diagnosed in three patients (0.46%), and backache, headache, and analgesic use were more common at 3 months in the EBP group. Conclusions: Management practices vary between countries, but EBP was more often used in patients with greater initial headache intensity. EBP reduced headache intensity quickly, but about 20% of patients needed a second EBP. After 7 days, most patients had no or mild headache. Backache, headache, and analgesic use were more common at 3 months in patients receiving an EBP. © 2020 British Journal of Anaesthesia
Έτος δημοσίευσης:
2020
Συγγραφείς:
Gupta, A.
von Heymann, C.
Magnuson, A.
Alahuhta, S.
Fernando, R.
Van de Velde, M.
Mercier, F.J.
Schyns-van den Berg, A.M.J.V.
Isabelle, C.
Bart, B.
Filiep, S.
Pierre-Yves, D.
Geraldine, L.
Jan, C.
Roel, S.
Patrick, V.H.
Alain, K.
Henk, V.
Monique, B.
Eva, R.
Ana, J.
Aleksandra, J.
Damjan, M.
Ivan, S.
Slobodan, M.
Kosinova, M.
Stourac, P.
Milan, A.
Christian, K.
Ivana, V.
Blažena, Z.
Christina, F.-F.
Bjoern, M.
Charlotte, K.A.
Tomi, K.
Seppo, A.
Anne, M.
Susanna, M.
Kati, R.
Tuula, H.
Vesa, K.
Kirsti, L.
Sara, T.
Emmanuel, B.
Pierre-Édouard, G.
Olivier, M.
Aurelie, C.
Jean, L.
Thérèse, S.
Marie, B.
Tarik, H.
Fleur, M.D.
Christine, Q.
Karim, B.
Agnès, L.
Mickaël, S.
Marie-Pierre, B.
Mathieu, C.
Catherine, F.
Paola-Carla, P.
Martine, B.
Brigitte, S.
Anne-Sophie, B.
Thomas, D.
Minh, N.T.
Hawa, K.
Sophie, N.
Lauranne, O.
Anne, D.
Florence, V.
Lutz, K.
Christoph, H.
Stefan, M.
Karin, B.
Manfred, B.
Heidrun, L.
Josef, S.S.
Ellis, M.
Birgit, B.
Claudia, N.
Stefan, W.
Matthias, G.
Henning, O.
Antonia, H.
Yvonne, J.
Peter, K.
Christian, V.H.
Sabine, W.
Chryssoula, S.
Antonia, S.
Athanasia, T.
Konstantina, K.
Anastasia, L.
Dimitrios, V.
Paraskevi, M.
Adalbjörn, T.
Riad, T.
Eidelman Leonid, A.
Atara, D.
Sharon, O.-Z.
Alexander, I.
Iacob, R.
Luigi, D.S.
Barbara, P.
Luca, B.
Alessandro, Z.
Michela, C.
Giorgio, D.R.
Marco, A.
Grazia, F.M.
Cristina, T.
Qamile, M.
Andrius, M.
Grazina, K.
Kestutis, R.
Francis, B.
Carl, T.
Agnes Geertje, K.-V.
Alexandra, S.-V.D.B.
Markus, H.W.
Tijs, V.D.B.
Eric, K.
Ilse, D.
Anouk, V.D.K.
Caroline, V.D.M.
Nele, R.
Michal, P.
Christine, P.
Marjolein, V.D.N.
Seppe, K.
Aart-Jan, T.
Dick, C.
van Nick, D.
Bastiaan, V.
Ingrid, B.
Vegard, D.
Robert, H.
Francesco, V.
Reidar, E.J.
Radovan, W.
Naz, A.T.
Else-Marie, R.
Radosław, C.
Tomasz, S.
Bartłomiej, W.
Aida, F.M.
Amélia, F.
Catarina, S.A.
Irene, F.
Bernardo, M.
Joana, T.
Rita, A.
Herminia, C.
Rosario, F.
Paulo, L.
Carolina, C.
Fernando, M.
Cristiana, P.
Sandra, P.
Francisca, T.
Pedro, V.
Filipa, L.
Paulo, M.
Lucindo, O.
Isabel, G.-A.
Vitor, P.-O.
Paulo, P.
Carla, B.
Francisco, G.
Ana, M.
Cláudia, C.
Miriam, N.
Vânia, P.
Mara, C.
Raquel, T.
Glória, T.
Inês, F.
Estela, P.
Luísa, M.
Manue, S.
Aleksandra, B.
Mirjana, K.
Lidija, J.
Borislava, P.
Marija, K.
Monika, G.
Jana, S.
Gordana, P.
Ales, R.
Iva, B.
Dragan, G.
Tatjana, S.P.
Teresa, C.
Pablo, M.
De Joaquin, C.-E.
Roque, G.-C.
Leonor, V.-G.
Morena, B.
Carolina, G.B.
Cristian, H.
Laura, R.
De Maroto Pinar, S.
Gràcia Solsona, J.A.
Manuel, L.-B.
Marta, M.M.
Ana María, P.M.
Lourdes, T.
Anibal Ricardo, P.G.
Clara, A.S.
Enric, M.
Laura, R.
Jose Luis, A.S.
Maria, S.P.
Maria Inmaculada, V.H.
Gorka, A.
Estíbaliz, B.
Julia, H.
Fernando, I.
Alberto, M.
Fernando, G.
Emilia, G.A.
Fabrizio, I.
Julieta, L.
Cristina, R.R.
Osvaldo Ceferino, P.P.
Natalia, S.B.
Ceferina, S.C.
Lourdes, H.G.
Caridad, R.G.
Raquel, S.N.
Diego, A.
Beleña, J.M.
Carmen, G.-C.
Irene, G.
Susana, M.
Elena, S.
Anette, H.
Elisabet, A.
Helena, H.
Monika, T.
Ruaa, A.-T.
Susanne, L.-E.
Anja, L.-S.
Ola, R.
Evija, A.
Lars, G.
Bijan, D.
Anil, G.
Nordstöm Johan, L.
Jan, P.
Jan, R.
Lars, B.
Johan, F.
Malin, U.E.
Håkan, R.
Anna, H.
Katarina, L.
Sofus, R.
Karin, T.
Peter, B.
Moira, R.B.
Ulrike, S.
Stanislas, M.
Georges, S.
Pia, A.D.M.
Miodrag, F.
Alexander, D.
Maya, B.
Thierry, G.
Claudia, V.
Sule, O.
Berrin, G.D.
Pelin, C.D.
Ayca, T.T.
Sarah, D.
Marc, V.D.V.
Manuel, A.
Marina, V.
Leire, M.
Rosa, S.
Περιοδικό:
BRITISH JOURNAL OF ANAESTHESIA
Εκδότης:
Elsevier Ireland Ltd
Τόμος:
125
Αριθμός / τεύχος:
6
Σελίδες:
1045-1055
Λέξεις-κλειδιά:
caffeine; local anesthetic agent; nonsteroid antiinflammatory agent; opiate; paracetamol, adult; Article; aseptic meningitis; backache; blood patch; body mass; brain hemorrhage; cerebrospinal fluid; cesarean section; clinical practice; cohort analysis; conservative treatment; controlled study; epidural analgesia; epidural anesthesia; female; follow up; headache; human; lumbar puncture; major clinical study; multicenter study; multipara; observational study; parity; postdural puncture headache; priority journal; prospective study; spinal anesthesia; subdural hematoma; treatment duration; treatment outcome; adolescent; adverse event; blood patch; brain hemorrhage; clinical trial; disease management; middle aged; obstetrics; pain measurement; postdural puncture headache; pregnancy; procedures; young adult, Adolescent; Adult; Analgesia, Epidural; Blood Patch, Epidural; Cohort Studies; Disease Management; Female; Follow-Up Studies; Humans; Intracranial Hemorrhages; Middle Aged; Obstetrics; Pain Measurement; Post-Dural Puncture Headache; Pregnancy; Prospective Studies; Young Adult
Επίσημο URL (Εκδότης):
DOI:
10.1016/j.bja.2020.07.061
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