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Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

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How to Cite

1.
Incidencia de cefalea postpunción dural y estudio de cohorte comparativo con la utilización de agujas quincke (traumáticas) No 27 vs agujas No 25 en pacientes obstétricas en Quito. Cambios rev. méd. [Internet]. 2022 May 30 [cited 2025 Dec. 7];22(22):42-6. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/814

Abstract

Lumbar puncture headache is one of the most feared anesthetics complications due to its frequency and its intensity. In this study we asses the frecuency of this pathology in our obstetric
population and the incidence comparing the diameter of the needle used in spinal block. For this purpose we analyzed the total obstetric population that received spinal block for c-section in Carlos Andrade Marin Hospital, ASA I-II risk score from january to june 2012, identifying the diameter of the needle used Quincke 27 vs Quincke 25 and identifying those with post lumbar
puncture headache classified in the electronic medical record or well described with the criteria (headache that develops within 5 days after a lumbar puncture, that intensifies 15 minutes after
sitting or standing and disappears or diminishes within 15 minutes assuming dorsal position and has one of the following symptoms: nucal rigidity, tinitus, hipoacusia, photophopia or nausea; and that resolves spontaneously in the course of a week or adequate treatment of CSF leakage (blood patch).

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References

Vandam LD, Dripps RD. Long term follow up of patients who received 10,098 spinal anesthetics. JAMA, 1956; 161:586-90

Evans RW, Armon C, Frohman EM, Goodin DS. Assessment: prevention of post-lumbar puncture headaches. Report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology, 2000; 55:909-914

Turnbull DK, Sheperd DB. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anesth, 2003; 91:718-29

Lopez Correa T, Garzón Sanchez JC. Cefalea Postpunción dural en obstetricia. Rev Esp Anestesiol Reanim, 2011; 58: 563-573

Shear T, Ahmed SU. Epidural blood patch for chronic daily headache with postural component: a case report and the review of published cases. Pain Phys, 2008; 11:77-80

Lybecker H, Djernes M, Schmidt JF. Postdural puncture headache (PDPH): onset, duration, severity, and associated symptoms: an analysis of 75 consecutive patients with PDPH. Acta Anaesthiol Scand, 1995; 39:605-61

Arcad G, Girard F, McCormack M, et al. Bilateral sixth cranial nerve palsy after unintentional dural puncture. Can J Anaesth 2004; 51:821-823.

Sundberg A, Wang LP, Fog J. Influence of hearing of 22 g Whitacre and 22 g Quincke needles. Anaesthesia, 1992; 47:981-983

Reynolds AF, Slavin L Postpartum acute subdural hematoma; a probable complication of saddle block analgesia. Neurosurgery, 1980; 7:398

Zakowski MI. Postoperative Complications Associated with Regional Anesthesia in the Parturient. In: Norris MC, ed. Obstetric Anesthesia 2nd ed. Philadelphia: Lippincott W&W, 1999; 723-748

Vakharia SB, Thomas PS, Rosenbaum AE, et al. Magnetic resonance imaging of cerebrospinal fluid leak and tamponade effect of blood patch in postdural puncture headache. Anesth Analg, 1997; 84:585-590

Grant R, Condon B, Hart I, Teasdale GM. Changes in intracranial CSF volume after lumbar puncture and their relationship to post-LP headache. J Neurol Neurosurg Psych, 1991; 54:440-442

Lybecker H, Moller JT, May O, Nielsen HK. Incidence and prediction of postdural puncture headache: a prospective study of 1021 spinal anesthesias. Anesth Analg, 1990; 70:389-394

Flaatten H, Thorsen T, Askeland B, et al. Puncture technique and postural postdural puncture headache: a randomized, doubleblind study comparing transverse and parallel puncture. Acta Anaesthesiol Scand, 1998; 42:1209-1214

Mihic DN: Postspinal headache and relationship of the needle bevel to longitudinal dural fibers. Reg Anesth, 1985; 10:76

Ready LB, Cuplin S, Haschke RH, et al: Spinal needle determinants of rate of transdural fluid leak. Anesth Analg, 1989;69:457

Halpern S, Preston R: Postdural puncture headache and spinal needle design. Anesthesiology, 1994; 81:1376

Reina MA, de Leon-Casasola OA, Lopez A, et al: An in vitro study of dural lesions produced by 25-gauge Quincke and Whitacre needles evaluated by scanning electron microscopy. Reg Anesth Pain Med, 2000; 25:393

Kang SB, Goodnough DE, Lee YK, et al. Comparison of 26 and 27 g needles for spinal anesthesia for ambulatory surgery patients. Anesthesiology, 1992; 76:734-738

Santanen U, Rautoma P, Luurila H, et al. Comparison of 27-gauge Whitacre and Quincke spinal needles with respect to post-dural puncture headache and nondural puncture headache. Acta Anaesthesiol Scand, 2004; 48:474-479

Jones RJ: The role of recumbency in the prevention and treatment of postspinal headache. Anesth Analg, 1974; 53:788

Thornberry EA, Thomas TA: Posture and post-spinal headache: A controlled trial in 80 obstetric patients. Br J Anaesth, 1988; 60:195

Baumgarten RK: Should caffeine become the first-line treatment for postdural puncture headache? Anesth Analg, 1987; 66:913

Hart JR, Whitacre RG. Pencil Point needle in the prevention of postspinal headache. JAMA, 1951; 147:657-8

Candido KD, Stevens RA. Post-dural puncture headache: pathophysiology, prevention and treatment. Best Pract Res Clin Anesthesiol, 2003; 17: 451-69

Zeidan A, Farhat O, Maaliki H, Baraka A. Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature. Int J Obstet Anesth, 2006; 15:50-8

Gaiser R. Postdural puncture headache. Curr Opin Anesthesiol, 2006; 19:249-53

Kuczkowski KM. The management of accidental dural puncture in pregnant women: what does an obstetrician need to know? Arch Gynecol Obstet, 2007; 275:125-31

Bier A. Versuche uber Cocainisirung des Ruckenmarkes. Deutsche Zeitschrift fur Chirugie, 1899; 51:361-9

MacRobert R. The cause of lumbar puncture headache. JAMA, 1918; 70:1350-3

Moyano C, Onofa M. Estudio de Cefalea Postpunción dural en Quito. Rev Col Anest, 2003; 31: 195-200

Kuczkowski KM. Post-dural puncture headache in the obstetric patient: an old problem. New solutions. Minerva Anestesiol, 2004; 70:823-30

Muñoz H, López-Tafall M, Blanco IF, Barez E. Ceguera tras cefalea postpunción dural en una paciente en el puerperio inmediato. Rev Esp Anestesiol Reanim, 2009; 56:122-3

Wu CL, Rowlingson AJ, Cohen SR, Michaels RK, Courpas GE, Joe EM, et al. Gender and post-dural puncture headache. Anesthesiology, 2006; 105:613-8

Thew M, Paech MJ. Management of postdural puncture headache in the obstetric patient. Curr Opin Anaesthesiol, 2008; 21:288-92

Van de Velde M, Schepers R, Berends N, Vandermeersch E, De Buck F. Ten years of experience with accidental dural puncture and postdural puncture headache in a tertiary obstetric anesthesia departament. Int J Obstet Anesth, 2008; 17:329-35

Zela Huasquito R et al. Cefalea post bloqueo subaracnoideo con aguja Whitacre 25 vs Quincke 25. Rev Mexic Anestesiol, 1994;17: 66-9

Sprigge JS, Harper SJ. Accidental dural puncture and postdural puncture headache in obstetric anaesthesia: presentation and management: a 23-year survey in a district general hospital. Anaesthesia, 2008; 63:36-43

Sinha A, Petkov S, Meldrum D. Unrecognised dural puncture resulting in subdural hygroma and cortical vein thrombosis. Anaesthesia, 2010; 65:70-3

Lavi R, Yernitzky MD, Rowe JM, Weissman A, Segal D, Avivi I. Standard vs atraumatic Whit a core needle for diagnostic lumbar puncture: a randomized trial. Neurology, 2006; 67:1492-4

Sludow C, Warlow C. Epidural blood patching for preventing and treating post-dural puncture headache. Cochrane Database Syst Rev, 2002; CD001791

Al-metwalli RR. Epidural morphine injections for prevention of post dural puncture headache. Anaesthesia, 2008; 63:847-50

Strupp M, Schueler O, Straube A, Von Stuckrad-Barre S, Brandt T. “Atraumatic” Sprotte needle reduces the incidence of postlumbar puncture headaches. Neurology, 2001; 57:2310-2

Flaatten H, Felthaus J, Kuwelker M, Wisborg T. Postural postdural puncture headache. A prospective randomised study and a metaanalysis comparing two different 0.40 mm O.D. (27 g) spinal needles. Acta Anesthesiol Scand, 2000; 44:643-7

Sprotte G, Schedel R, Pajunk H. An “atraumatic” universal needle for single-shot regional anesthesia: clinical results and a 6 years trial in over 30.000 regional anesthesias. Reg Anaesth, 1987; 10:104-8

Holst D, Mollmann M, Ebel C, Hausman R, Wendt M. In vitro investigation of cerebrospinal fluid lekage after dural puncture with various spinal needles. Anesth Analg, 1998; 87:1331-5

Hess JH. Postdural puncture headache: a literatura review. AANA J, 1991; 59:549-55

Aldrete JA, Barrios-Alarcón J. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anesth, 2004; 92:767-8

Ostman PL. Complications associated with regional anaesthesia in the obstetric patient. En: Norris MC, editors. Obstetric Anaesthesia. Philadelphia: Lippincott, 1993; 763-76

Morros-Viñoles C, Pérez-Cuenca MD, Cedó-Lluís E, Colls C, Bueno J, Cedó-Vallobá F. Comparación de la eficacia y complicaciones de dos agujas punta Sprotte G27 y G29 para anestesia subaracnoidea. Rev Esp Anestesiol Reanim, 2002; 49:448-54

Ghatge S, Uppugonduri S, Kamarzaman Z. Cerebral venous sinus thrombosis following accidental dural puncture and epidural blood patch. Int J Obstr Anesth, 2008; 17:267-70

Lavi R, Rowe JM, Avivi I. Lumbar puncture: it is time to change the needle. Eur Neurol, 2010; 64:108-13

Özdemir N, Ari MK, Gelal MF, Bezircioglu H. Intracranial chronic subdural haematoma as a complication of epidural anesthesia. Turk Neurosurg, 2009; 19:285-7

Sudlow C, Warlow C. Posture and fluids for preventing post-dural puncture headache. Cochrane Database of Syst Rev, 2001(2); CD001790

Halker RB, Demaerschalk BM, Wellik KE, Wingerchuk DM, Rubin DI, Crum BA, et al. Caffeine for the prevention and treatment of postdural puncture headache: debunking the myth. Neurologist, 2007; 13:323-7

 

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