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Prevention of postdural puncture headache after spinal anaesthesia for extracorporeal shockwave lithotripsy An assessment of prophylactic epidural blood patching
Author(s) -
Sengupta P.,
Bagley G.,
Lim M.
Publication year - 1989
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1989.tb11100.x
Subject(s) - medicine , anesthesia , extracorporeal shockwave lithotripsy , saline , spinal anesthesia , surgery , epidural blood patch , autologous blood , general anaesthesia , lithotripsy , complication
Summary The prevention of postdural puncture headache after spinal anaesthesia for extracorporeal shockwave lithotripsy was investigated by a controlled clinical trial which compared epidural injection of 10 ml of autologous blood with 10 ml of normal saline immediately after intrathecal injection of local anaesthetic. The incidence of postdural puncture headache was 8.3% in the group that received blood compared with 45% in the group that received saline, a significant reduction (p < 0.01). The incidences of backache and lower limb paraesthesiae were similar in both groups. No serious complications were reported.