The management of accidental dural puncture and postdural puncture headache: a North American survey
Abstract Study Objective To evaluate the management of accidental dural puncture (ADP) and postdural puncture headache (PDPH) among obstetric anesthesiologists practicing in North America. Design Questionnaire survey of individual members of the Society for Obstetric Anesthesia and Perinatology (SOA...
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| Veröffentlicht in: | Journal of clinical anesthesia 2011-08, Vol.23 (5), p.349-360 |
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| creator | Baysinger, Curtis L., MD Pope, Jason E., MD Lockhart, Ellen M., MD Mercaldo, Nathaniel D., MS |
| description | Abstract Study Objective To evaluate the management of accidental dural puncture (ADP) and postdural puncture headache (PDPH) among obstetric anesthesiologists practicing in North America. Design Questionnaire survey of individual members of the Society for Obstetric Anesthesia and Perinatology (SOAP). Setting University hospital. Measurements In June 2008, a 4-part, 83-item electronic survey was distributed to all North American members of SOAP. It contained questions about respondent demographics, epidural catheter and intrathecal catheter management after ADP, PDPH management, epidural blood patch (EBP) management, and patient follow-up. Main Results Of the 843 United States and Canadian members of SOAP who were surveyed, 160 responses were collected. Respondents reported placing an epidural 75% of the time and an intrathecal catheter 25% of the time following ADP. Common prophylactic and conservative treatment strategies included hydration, caffeine, and opioids by mouth; 76% of respondents leave an intrathecal catheter in place for 24 hours to reduce the frequency of headache. Epidural blood patches are placed by 81% of practitioners less than 24 hours after headache onset. Conclusions Protocols for ADP management are rare. There is wide variation in catheter management after dural puncture, measures used to prevent and treat a resultant headache, and EBP management. |
| doi_str_mv | 10.1016/j.jclinane.2011.04.003 |
| format | Article |
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Design Questionnaire survey of individual members of the Society for Obstetric Anesthesia and Perinatology (SOAP). Setting University hospital. Measurements In June 2008, a 4-part, 83-item electronic survey was distributed to all North American members of SOAP. It contained questions about respondent demographics, epidural catheter and intrathecal catheter management after ADP, PDPH management, epidural blood patch (EBP) management, and patient follow-up. Main Results Of the 843 United States and Canadian members of SOAP who were surveyed, 160 responses were collected. Respondents reported placing an epidural 75% of the time and an intrathecal catheter 25% of the time following ADP. Common prophylactic and conservative treatment strategies included hydration, caffeine, and opioids by mouth; 76% of respondents leave an intrathecal catheter in place for 24 hours to reduce the frequency of headache. Epidural blood patches are placed by 81% of practitioners less than 24 hours after headache onset. Conclusions Protocols for ADP management are rare. There is wide variation in catheter management after dural puncture, measures used to prevent and treat a resultant headache, and EBP management.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2011.04.003</identifier><identifier>PMID: 21696932</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Accidental dural puncture ; Analgesia: epidural, intrathecal ; Anesthesia ; Anesthesia & Perioperative Care ; Anesthesia, Epidural - adverse effects ; Anesthesia, Epidural - methods ; Anesthesia, neuraxial, obstetrical ; Anesthesia, Obstetrical - adverse effects ; Anesthesia, Obstetrical - methods ; Anesthesia, Spinal - adverse effects ; Anesthesia, Spinal - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Patch, Epidural - methods ; Canada ; Catheterization - adverse effects ; Catheterization - methods ; Catheters ; Clinical Protocols ; Demographics ; Dura Mater - injuries ; Epidural blood patch ; Female ; Headaches ; Humans ; Intrathecal catheter ; Medical sciences ; Pain Medicine ; Polls & surveys ; Post-Dural Puncture Headache - etiology ; Post-Dural Puncture Headache - prevention & control ; Post-Dural Puncture Headache - therapy ; Postal codes ; Postdural puncture headache ; Pregnancy ; Spinal Puncture - adverse effects ; Spinal Puncture - methods ; Studies ; Surveys and Questionnaires ; United States</subject><ispartof>Journal of clinical anesthesia, 2011-08, Vol.23 (5), p.349-360</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-4b465b4d8bd449194fa984836438fa5e171d656109bd349f64ffc93b483476873</citedby><cites>FETCH-LOGICAL-c480t-4b465b4d8bd449194fa984836438fa5e171d656109bd349f64ffc93b483476873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033201245?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24425772$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21696932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baysinger, Curtis L., MD</creatorcontrib><creatorcontrib>Pope, Jason E., MD</creatorcontrib><creatorcontrib>Lockhart, Ellen M., MD</creatorcontrib><creatorcontrib>Mercaldo, Nathaniel D., MS</creatorcontrib><title>The management of accidental dural puncture and postdural puncture headache: a North American survey</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Study Objective To evaluate the management of accidental dural puncture (ADP) and postdural puncture headache (PDPH) among obstetric anesthesiologists practicing in North America. Design Questionnaire survey of individual members of the Society for Obstetric Anesthesia and Perinatology (SOAP). Setting University hospital. Measurements In June 2008, a 4-part, 83-item electronic survey was distributed to all North American members of SOAP. It contained questions about respondent demographics, epidural catheter and intrathecal catheter management after ADP, PDPH management, epidural blood patch (EBP) management, and patient follow-up. Main Results Of the 843 United States and Canadian members of SOAP who were surveyed, 160 responses were collected. Respondents reported placing an epidural 75% of the time and an intrathecal catheter 25% of the time following ADP. Common prophylactic and conservative treatment strategies included hydration, caffeine, and opioids by mouth; 76% of respondents leave an intrathecal catheter in place for 24 hours to reduce the frequency of headache. Epidural blood patches are placed by 81% of practitioners less than 24 hours after headache onset. Conclusions Protocols for ADP management are rare. There is wide variation in catheter management after dural puncture, measures used to prevent and treat a resultant headache, and EBP management.</description><subject>Accidental dural puncture</subject><subject>Analgesia: epidural, intrathecal</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia, Epidural - adverse effects</subject><subject>Anesthesia, Epidural - methods</subject><subject>Anesthesia, neuraxial, obstetrical</subject><subject>Anesthesia, Obstetrical - adverse effects</subject><subject>Anesthesia, Obstetrical - methods</subject><subject>Anesthesia, Spinal - adverse effects</subject><subject>Anesthesia, Spinal - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Patch, Epidural - methods</subject><subject>Canada</subject><subject>Catheterization - adverse effects</subject><subject>Catheterization - methods</subject><subject>Catheters</subject><subject>Clinical Protocols</subject><subject>Demographics</subject><subject>Dura Mater - injuries</subject><subject>Epidural blood patch</subject><subject>Female</subject><subject>Headaches</subject><subject>Humans</subject><subject>Intrathecal catheter</subject><subject>Medical sciences</subject><subject>Pain Medicine</subject><subject>Polls & surveys</subject><subject>Post-Dural Puncture Headache - etiology</subject><subject>Post-Dural Puncture Headache - prevention & control</subject><subject>Post-Dural Puncture Headache - therapy</subject><subject>Postal codes</subject><subject>Postdural puncture headache</subject><subject>Pregnancy</subject><subject>Spinal Puncture - adverse effects</subject><subject>Spinal Puncture - methods</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFksFu1DAQhi0EokvhFSpLCHFKsGPHsTmgVhUtSBUcKGfLsSesQ-IsdlJp3x5Hu6XSXrjY1vib0cz_D0IXlJSUUPGhL3s7-GAClBWhtCS8JIQ9QxsqG1bwulLP0YaouiokleQMvUqpJ4TkD_oSnVVUKKFYtUHufgt4NMH8ghHCjKcOG2u9y28zYLfEfO6WYOclAjbB4d2U5pPwFowzdgsfscHfpjhv8dUI0VsTcFriA-xfoxedGRK8Od7n6OfN5_vrL8Xd99uv11d3heWSzAVvuahb7mTrOFdU8c4oySUTnMnO1EAb6kQtKFGtY1x1gnedVazNCG9EnvscvT_U3cXpzwJp1qNPFoYhyzQtSUtJGlpXtczk2xOyn5YYcnOaEsaypBWvMyUOlI1TShE6vYt-NHGfIb3aoHv9aINebdCE62xDTrw4ll_aEdy_tEfdM_DuCJhkzdBFE6xPTxznVd00K3d54CDL9uAh6mQ9BAvOR7CzdpP_fy-fTkqsVHZn-A17SE9z61Rpon-sS7PuDKWE0EYQ9hcR0bzQ</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Baysinger, Curtis L., MD</creator><creator>Pope, Jason E., MD</creator><creator>Lockhart, Ellen M., MD</creator><creator>Mercaldo, Nathaniel D., MS</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>The management of accidental dural puncture and postdural puncture headache: a North American survey</title><author>Baysinger, Curtis L., MD ; Pope, Jason E., MD ; Lockhart, Ellen M., MD ; Mercaldo, Nathaniel D., MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-4b465b4d8bd449194fa984836438fa5e171d656109bd349f64ffc93b483476873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accidental dural puncture</topic><topic>Analgesia: epidural, intrathecal</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesia, Epidural - adverse effects</topic><topic>Anesthesia, Epidural - methods</topic><topic>Anesthesia, neuraxial, obstetrical</topic><topic>Anesthesia, Obstetrical - adverse effects</topic><topic>Anesthesia, Obstetrical - methods</topic><topic>Anesthesia, Spinal - adverse effects</topic><topic>Anesthesia, Spinal - methods</topic><topic>Anesthesia. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Patch, Epidural - methods</topic><topic>Canada</topic><topic>Catheterization - adverse effects</topic><topic>Catheterization - methods</topic><topic>Catheters</topic><topic>Clinical Protocols</topic><topic>Demographics</topic><topic>Dura Mater - injuries</topic><topic>Epidural blood patch</topic><topic>Female</topic><topic>Headaches</topic><topic>Humans</topic><topic>Intrathecal catheter</topic><topic>Medical sciences</topic><topic>Pain Medicine</topic><topic>Polls & surveys</topic><topic>Post-Dural Puncture Headache - etiology</topic><topic>Post-Dural Puncture Headache - prevention & control</topic><topic>Post-Dural Puncture Headache - therapy</topic><topic>Postal codes</topic><topic>Postdural puncture headache</topic><topic>Pregnancy</topic><topic>Spinal Puncture - adverse effects</topic><topic>Spinal Puncture - methods</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baysinger, Curtis L., MD</creatorcontrib><creatorcontrib>Pope, Jason E., MD</creatorcontrib><creatorcontrib>Lockhart, Ellen M., MD</creatorcontrib><creatorcontrib>Mercaldo, Nathaniel D., MS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baysinger, Curtis L., MD</au><au>Pope, Jason E., MD</au><au>Lockhart, Ellen M., MD</au><au>Mercaldo, Nathaniel D., MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The management of accidental dural puncture and postdural puncture headache: a North American survey</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>23</volume><issue>5</issue><spage>349</spage><epage>360</epage><pages>349-360</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Study Objective To evaluate the management of accidental dural puncture (ADP) and postdural puncture headache (PDPH) among obstetric anesthesiologists practicing in North America. Design Questionnaire survey of individual members of the Society for Obstetric Anesthesia and Perinatology (SOAP). Setting University hospital. Measurements In June 2008, a 4-part, 83-item electronic survey was distributed to all North American members of SOAP. It contained questions about respondent demographics, epidural catheter and intrathecal catheter management after ADP, PDPH management, epidural blood patch (EBP) management, and patient follow-up. Main Results Of the 843 United States and Canadian members of SOAP who were surveyed, 160 responses were collected. Respondents reported placing an epidural 75% of the time and an intrathecal catheter 25% of the time following ADP. Common prophylactic and conservative treatment strategies included hydration, caffeine, and opioids by mouth; 76% of respondents leave an intrathecal catheter in place for 24 hours to reduce the frequency of headache. Epidural blood patches are placed by 81% of practitioners less than 24 hours after headache onset. Conclusions Protocols for ADP management are rare. There is wide variation in catheter management after dural puncture, measures used to prevent and treat a resultant headache, and EBP management.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21696932</pmid><doi>10.1016/j.jclinane.2011.04.003</doi><tpages>12</tpages></addata></record> |
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| subjects | Accidental dural puncture Analgesia: epidural, intrathecal Anesthesia Anesthesia & Perioperative Care Anesthesia, Epidural - adverse effects Anesthesia, Epidural - methods Anesthesia, neuraxial, obstetrical Anesthesia, Obstetrical - adverse effects Anesthesia, Obstetrical - methods Anesthesia, Spinal - adverse effects Anesthesia, Spinal - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Patch, Epidural - methods Canada Catheterization - adverse effects Catheterization - methods Catheters Clinical Protocols Demographics Dura Mater - injuries Epidural blood patch Female Headaches Humans Intrathecal catheter Medical sciences Pain Medicine Polls & surveys Post-Dural Puncture Headache - etiology Post-Dural Puncture Headache - prevention & control Post-Dural Puncture Headache - therapy Postal codes Postdural puncture headache Pregnancy Spinal Puncture - adverse effects Spinal Puncture - methods Studies Surveys and Questionnaires United States |
| title | The management of accidental dural puncture and postdural puncture headache: a North American survey |
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