CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dennehy, K. C.
Right arrow Articles by Rosaeg, O. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dennehy, K. C.
Right arrow Articles by Rosaeg, O. P.

Canadian Journal of Anesthesia, Vol 45, 42-45, Copyright © 1998 by Canadian Anesthesiologists' Society

ARTICLES

Intrathecal catheter insertion during labour reduces the risk of post-dural puncture headache

KC Dennehy and OP Rosaeg
Department of Anaesthesia, Ottawa Civic Hospital, University of Ottawa, Ontario, Canada.

PURPOSE: To describe the anaesthetic management and report the incidence of PDPH in three parturients who had experienced accidental dural puncture during labour and the subsequent deliberate intrathecal insertion of an epidural catheter. CLINICAL FEATURES: Inadvertent dural puncture with a 16-gauge Tuohy needle occurred during the first stage of labour at 3-4 cm cervical dilatation in all three women. The 20-gauge epidural catheter was immediately inserted into the subarachnoid space after accidental dural penetration. Intermittent intrathecal injections of lidocaine or bupivacaine with fentanyl were administered to provide analgesia during labour and delivery. Two of the women had spontaneous vaginal deliveries, whereas Caesarean section was performed in one case due to acute fetal distress during the second stage of labour. The intrathecal catheter was left in-situ for 13-19 hr after delivery and the women were questioned daily for symptoms of PDPH. None of the three women developed PDPH after dural puncture and intrathecal catheterisation with the epidural catheter. CONCLUSION: Immediate intrathecal insertion of the epidural catheter after accidental dural puncture during labour proved to be an effective prophylactic technique to prevent PDPH in these three parturients.


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
N. Aragones, A. Arxer, M. Vieito, J. Ros, A. Villalonga, and X. Ustrell
The Diagnosis and Treatment of a Patient with Puerperal Infection and Subdural Hygromas
Anesth. Analg., October 1, 2004; 99(4): 1218 - 1220.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. S. Malov, B. A. Bucklin, and C. V. Smith
Intrathecal Catheter as a Secondary Prophylaxis of Postdural Puncture Headache • Response
Anesth. Analg., August 1, 1999; 89(2): 538 - 538.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the Canadian Anesthesiologists' Society.