Postdural puncture headache: the role of prophylactic epidural blood patch

Current Pain and Headache Reports
G M Vasdev, P A Southern

Abstract

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.

References

Mar 1, 1979·Canadian Anaesthetists' Society Journal·R J Palahniuk, M Cumming
Aug 1, 1978·Anesthesiology·E A LoeserJ H Sederberg
Jan 1, 1990·Anesthesia and Analgesia·B Y OngR J Palahniuk
Sep 1, 1988·British Journal of Anaesthesia·T G CheekB B Gutsche
May 1, 1985·British Journal of Anaesthesia·H Quaynor, M Corbey
Mar 1, 1973·Anesthesia and Analgesia·J B CraftC S Coakley
May 1, 1980·Anaesthesia·J S Crawford
Jan 1, 1993·Journal of Clinical Anesthesia·N S TrivediK Shevde
Feb 1, 1996·Anesthesia and Analgesia·J P WemamaR Krivosic-Horber
Apr 1, 1996·Anesthesia and Analgesia·M D TobiasD R Jobes
Jul 1, 1996·Acta Anaesthesiologica Scandinavica·S N Costigan, J S Sprigge
Oct 1, 1996·Anesthesiology·P B LangevinP A Gulig
Jan 1, 1997·Anesthesia and Analgesia·J A Aldrete, T L Brown
Feb 18, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K G Smedstad
Mar 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C W BergerW Grodecki
Nov 7, 1998·Anesthesia and Analgesia·J Oh, W Camann
Apr 2, 1999·BMJ : British Medical Journal·I Findley, G Chamberlain
Sep 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P J Duffy, E T Crosby
Aug 24, 2004·International Journal of Obstetric Anesthesia·E J WilliamsJ G Jenkins
Oct 1, 1993·International Journal of Obstetric Anesthesia·J L Shah
Oct 4, 2006·Current Opinion in Anaesthesiology·H Breivik

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Citations

Aug 24, 2004·International Journal of Obstetric Anesthesia·H BirdH Vallance
Nov 21, 2008·Pain Practice : the Official Journal of World Institute of Pain·Zoher NajaAnis Baraka
Oct 13, 2004·International Journal of Obstetric Anesthesia·Ray J Defalque
Nov 26, 2013·The Cochrane Database of Systematic Reviews·Polpun Boonmak, Suhattaya Boonmak

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