Headache after neuraxial blocks: A focus on combined spinal-epidural anesthesia

Haluk Ozdemir; Reyhan Arslantas

doi:10.1016/B978-0-12-820237-1.00026-0

Headache after neuraxial blocks: A focus on combined spinal-epidural anesthesia

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

The postdural puncture headache (PDPH) is a well-recognized complication of neuraxial anesthesia resulting from intentional or unintentional dural punctures. Combined spinal-epidural anesthesia (CSEA) is a widely used neuraxial anesthetic technique that provides fast, profound, reliable anesthesia with its spinal component and gives the ability to extend anesthesia and analgesia via the epidural catheter. Theoretically, the dura mater’s intentional puncture associated with the technique increases the risk of PDPH. Combined spinal-epidural techniques have been reported to be associated with a low incidence of PDPHs and as a result of a low incidence of epidural blood patches. This chapter tries to present a close look at the PDPH focusing on the CSEA.

Original language	English
Title of host publication	Treatments, Mechanisms, and Adverse Reactions of Anesthetics and Analgesics
Publisher	Elsevier
Pages	281-290
Number of pages	10
ISBN (Electronic)	9780128202371
ISBN (Print)	9780128202388
DOIs	https://doi.org/10.1016/B978-0-12-820237-1.00026-0
Publication status	Published - 1 Jan 2021
Externally published	Yes

Keywords

Combined spinal-epidural anesthesia
Epidural anesthesia
Epidural blood patch
Headache
Neuraxial anesthesia
Postdural puncture headache

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10.1016/B978-0-12-820237-1.00026-0

Cite this

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title = "Headache after neuraxial blocks: A focus on combined spinal-epidural anesthesia",

abstract = "The postdural puncture headache (PDPH) is a well-recognized complication of neuraxial anesthesia resulting from intentional or unintentional dural punctures. Combined spinal-epidural anesthesia (CSEA) is a widely used neuraxial anesthetic technique that provides fast, profound, reliable anesthesia with its spinal component and gives the ability to extend anesthesia and analgesia via the epidural catheter. Theoretically, the dura mater{\textquoteright}s intentional puncture associated with the technique increases the risk of PDPH. Combined spinal-epidural techniques have been reported to be associated with a low incidence of PDPHs and as a result of a low incidence of epidural blood patches. This chapter tries to present a close look at the PDPH focusing on the CSEA.",

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AU - Arslantas, Reyhan

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AB - The postdural puncture headache (PDPH) is a well-recognized complication of neuraxial anesthesia resulting from intentional or unintentional dural punctures. Combined spinal-epidural anesthesia (CSEA) is a widely used neuraxial anesthetic technique that provides fast, profound, reliable anesthesia with its spinal component and gives the ability to extend anesthesia and analgesia via the epidural catheter. Theoretically, the dura mater’s intentional puncture associated with the technique increases the risk of PDPH. Combined spinal-epidural techniques have been reported to be associated with a low incidence of PDPHs and as a result of a low incidence of epidural blood patches. This chapter tries to present a close look at the PDPH focusing on the CSEA.

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KW - Epidural anesthesia

KW - Epidural blood patch

KW - Headache

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KW - Postdural puncture headache

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BT - Treatments, Mechanisms, and Adverse Reactions of Anesthetics and Analgesics

PB - Elsevier

ER -

Headache after neuraxial blocks: A focus on combined spinal-epidural anesthesia

Abstract

Keywords

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