TITLE:
Standardizing Management of Post-Dural Puncture Headache in Obstetric Patients: A Literature Review
AUTHORS:
Do T. Nguyen, Robin R. Walters
KEYWORDS:
Post-Dural Puncture Headache, Epidural Blood Patch, Complication from Epidural Placement, Management of Dural Puncture
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.4 No.10,
October
28,
2014
ABSTRACT: Post-dural puncture headache continues to be a significant cause of morbidity in parturients. Despite being a common complication faced by many anesthesiologists, there is a lack of consensus regarding its management. Many still use traditionally taught treatments such as strict bed rest and aggressive hydration despite lack of evidence for their usage. Few are using newly tested treatments such as gabapentin and ACTH despite being proven effective in randomized controlled trials. Furthermore, when and how the epidural blood patch should be used is contentious between different practitioners. This review aims at answering what is the best strategy to manage post-dural puncture headache and proposes an evidence-based practice guideline.