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

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. Howe...

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Bibliographic Details
Published inActa anaesthesiologica Taiwanica Vol. 44; no. 4; p. 227
Main Authors Liu, Shih-Kai, Chen, Kuen-Bao, Wu, Rick Sai-Chuen, Lin, Bih-Chern, Chang, Chia-Sheng, Liu, Yu-Cheng, Hung, Chih-Jen
Format Journal Article
LanguageEnglish
Published China (Republic : 1949- ) 01.12.2006
Subjects
Aged
Analgesia, Patient-Controlled - instrumentation
Female
Humans
Post-Dural Puncture Headache - therapy
Sodium Chloride - administration & dosage
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Summary: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.
ISSN:1875-4597