Greater occipital nerve block for postdural puncture headache (PDPH): a prospective audit of a modified guideline for the management of PDPH and review of the literature.
作者： G. Niraj , Aditi Kelkar , Vandana Girotra
DOI: 10.1016/J.JCLINANE.2014.03.006
关键词:
摘要: Abstract Study Objective To perform a prospective audit of the modified guideline for management postdural puncture headache (PDPH) and present results at 6 months. Design Prospective single-center audit. Setting University hospital. Patients 24 adult, ASA physical status 1, 2, 3 patients presenting with PDPH in both obstetric nonobstetric setting. Interventions Epidural blood patch (EBP) bilateral greater occipital nerve blocks (GONB) were administered. Measurements Headache scores, nausea presence severity neck stiffness, tinnitus, photophobia, any complications either technique. Results audited. Nineteen failed conservative offered GONB EBP. One patient chose EBP was successfully treated. Of 18 who received GONB, resolved 12 (66%). Six had partial response to block treated an Conclusion Greater dexamethasone may have role PDPH, management. We our review literature on PDPH.
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