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[PMID]: 29429479
[Au] Autor:Ravn A; Lyckhage LF; Jensen RH
[Ad] Address:ravn.med@gmail.com.
[Ti] Title:[Chronic post-dural headache secondary to meningitis].
[So] Source:Ugeskr Laeger;180(6), 2018 02 05.
[Is] ISSN:1603-6824
[Cp] Country of publication:Denmark
[La] Language:dan
[Ab] Abstract:In this case report a young man was admitted with fever and headache, and a lumbar puncture revealed viral meningitis. After discharge, the patient experienced persistent headache, which worsened, when he was in upright position. The condition was considered secondary to the meningitis. After 14 months, the patient was diagnosed with post-dural puncture headache and treated with an epidural blood patch (EBP). The patient experienced no headache for three months, whereafter it returned. Subsequent EBP's were unsuccessful. This case emphasizes the importance of paying attention to orthostatic components in headaches.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180227
[Lr] Last revision date:180227
[St] Status:In-Process

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[PMID]: 29342423
[Au] Autor:April MD; Long B
[Ad] Address:Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX.
[Ti] Title:Does Bed Rest or Fluid Supplementation Prevent Post-Dural Puncture Headache?
[So] Source:Ann Emerg Med;, 2018 Jan 13.
[Is] ISSN:1097-6760
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:EDITORIAL
[Em] Entry month:1801
[Cu] Class update date: 180117
[Lr] Last revision date:180117
[St] Status:Publisher

  3 / 643 MEDLINE  
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[PMID]: 29269181
[Au] Autor:Park S; Kim K; Park M; Lee U; Sim HS; Shin IS; Song Y
[Ad] Address:College of Nursing, Chungnam National University, Daejeon, Republic of Korea.
[Ti] Title:Effect of 24-Hour Bed Rest versus Early Ambulation on Headache after Spinal Anesthesia: Systematic Review and Meta-analysis.
[So] Source:Pain Manag Nurs;, 2017 Dec 18.
[Is] ISSN:1532-8635
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:We performed a systematic review of the evidence for the effectiveness of bed rest after dural puncture to update current evidence on the topic. The design was a systematic review and meta-analysis. We searched 10 electronic databases in English (Medline, CINAHL, EMBASE, and the Cochrane Controlled Trial Register) and Korean (KISS, KMBASE, NDSL, and RISS) using the terms "post-dural puncture headache," "spinal anesthesia," "epidural anesthesia," and "bed rest" to identify reports discussing the effectiveness of bed rest in preventing post-dural puncture headache (PDPH) after spinal anesthesia from 1980 to 2014. Original studies such as randomized and nonrandomized controlled trials, where participants were allocated to an intervention or control group, were included. A total of eight studies that met the inclusion criteria were independently reviewed and encoded by two review authors. To ensure the quality of the eight studies, levels of risk of bias were assessed by two different researchers. The main outcome was the prevalence of PDPH. The included studies indicated that PDPH prevalence did not differ between the group assigned to 24 hours of bed rest and the group assigned to early ambulation. In subgroup analysis, the effect size of clinical factors (severity of headache, day of onset, and needle gauge) and the study characteristics (language and sample size) did not differ between groups.This meta-analysis of studies suggested that long-term bed rest after spinal anesthesia may not be effective in preventing PDPH.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1712
[Cu] Class update date: 171222
[Lr] Last revision date:171222
[St] Status:Publisher

  4 / 643 MEDLINE  
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[PMID]: 28450307
[Au] Autor:Chee J; Lau TP
[Ad] Address:Department of emergency medicine, National University Health System, Singapore cheejeremy@gmail.com.
[Ti] Title:Severe postpartum headache.
[So] Source:BMJ;357:j1856, 2017 04 27.
[Is] ISSN:1756-1833
[Cp] Country of publication:England
[La] Language:eng
[Mh] MeSH terms primary: Headache/complications
Post-Dural Puncture Headache/diagnostic imaging
[Mh] MeSH terms secundary: Adult
Diabetes, Gestational/diagnosis
Diagnosis, Differential
Diplopia/diagnosis
Diplopia/etiology
Female
Headache/epidemiology
Headache/etiology
Humans
Incidence
Post-Dural Puncture Headache/epidemiology
Post-Dural Puncture Headache/therapy
Postpartum Period
Pregnancy
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171128
[Lr] Last revision date:171128
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170429
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j1856

  5 / 643 MEDLINE  
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[PMID]: 29156486
[Au] Autor:Kranke P; Annecke T; Bremerich DH; Chappell D; Girard T; Gogarten W; Hanß R; Kaufner L; Neuhaus S; Ninke T; Standl T; Weber S; Jelting Y; Volk T
[Ti] Title:Geburtshilfliche Anästhesie: Altbewährtes, Kontroversen und neue Perspektiven ­ Teil 2. [Update in Obstetric Anesthesia - Tried and Trusted Methods, Controversies and New Perspectives].
[So] Source:Anasthesiol Intensivmed Notfallmed Schmerzther;52(11-12):815-826, 2017 Nov.
[Is] ISSN:1439-1074
[Cp] Country of publication:Germany
[La] Language:ger
[Ab] Abstract:Since 1975, a plethora of lectures within the context of annual meetings relevant for the clinical care has been summarized in "what's new in obstetric anesthesia" by the society for Obstetric anesthesia and Perinatology which can be recommended to everyone interested in anaesthesiology in the delivery room. After the death of Gerard W. Ostheimer, Professor of Anaesthesiology at Brigham and Women's Hospital in Boston, Massachusetts, it became renamed the Gerard W. Ostheimer "what's new in obstetric anesthesia" lecture to honor his contributions to regional anesthesia and obstetric anaesthesia. Each year the event held by selected professional representatives and their imprint in leading anesthesia journals give insight into a critical appraisal of recent literature and the possible consequences for - but not only - the anaesthetic delivery room practice.A similar event has been established in Germany for more than 16 years (first event on April 1, 2000, most recently held on February 27, 2016, in Munich): the obstetrical anesthesia symposium of the academic working group "regional anesthesia and obstetrical anesthesia" [1], [2]."Evergreens" or "hot topics" with regard to anaesthesiological delivery room practice are presented and discussed regularly. The lectures often reveal the subtle change of the issues being debated much earlier than traditional textbook chapters do. This manuscript summarizes important findings from the last symposium held in 2016. Part I focuses on relevant causes for maternal morbidity and mortality as well as preventive measures, pregnancy in obese patients and sepsis in obstetric anaesthesia. Part II addresses established standards and new perspectives in the direct obstetric setting regarding epidural analgesia, post-dural puncture headache, anaesthesia and analgesia during and after caesarean section, haemodynamic monitoring during cesarean section and postpartum haemorrhage.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171120
[Lr] Last revision date:171120
[St] Status:In-Process
[do] DOI:10.1055/s-0043-116682

  6 / 643 MEDLINE  
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[PMID]: 29066932
[Au] Autor:Pierce JT; Kositratna G; Attiah MA; Kallan MJ; Koenigsberg R; Syre P; Wyler D; Marcotte PJ; Kofke WA; Welch WC
[Ad] Address:Department of Neurosurgery.
[Ti] Title:Efficiency of spinal anesthesia versus general anesthesia for lumbar spinal surgery: a retrospective analysis of 544 patients.
[So] Source:Local Reg Anesth;10:91-98, 2017.
[Is] ISSN:1178-7112
[Cp] Country of publication:New Zealand
[La] Language:eng
[Ab] Abstract:BACKGROUND: Previous studies have shown varying results in selected outcomes when directly comparing spinal anesthesia to general in lumbar surgery. Some studies have shown reduced surgical time, postoperative pain, time in the postanesthesia care unit (PACU), incidence of urinary retention, postoperative nausea, and more favorable cost-effectiveness with spinal anesthesia. Despite these results, the current literature has also shown contradictory results in between-group comparisons. MATERIALS AND METHODS: A retrospective analysis was performed by querying the electronic medical record database for surgeries performed by a single surgeon between 2007 and 2011 using procedural codes 63030 for diskectomy and 63047 for laminectomy: 544 lumbar laminectomy and diskectomy surgeries were identified, with 183 undergoing general anesthesia and 361 undergoing spinal anesthesia (SA). Linear and multivariate regression analyses were performed to identify differences in blood loss, operative time, time from entering the operating room (OR) until incision, time from bandage placement to exiting the OR, total anesthesia time, PACU time, and total hospital stay. Secondary outcomes of interest included incidence of postoperative spinal hematoma and death, incidence of paraparesis, plegia, post-dural puncture headache, and paresthesia, among the SA patients. RESULTS: SA was associated with significantly lower operative time, blood loss, total anesthesia time, time from entering the OR until incision, time from bandage placement until exiting the OR, and total duration of hospital stay, but a longer stay in the PACU. The SA group experienced one spinal hematoma, which was evacuated without any long-term neurological deficits, and neither group experienced a death. The SA group had no episodes of paraparesis or plegia, post-dural puncture headaches, or episodes of persistent postoperative paresthesia or weakness. CONCLUSION: SA is effective for use in patients undergoing elective lumbar laminectomy and/or diskectomy spinal surgery, and was shown to be the more expedient anesthetic choice in the perioperative setting.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171029
[Lr] Last revision date:171029
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.2147/LRA.S141233

  7 / 643 MEDLINE  
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[PMID]: 29050063
[Au] Autor:Kranke P; Annecke T; Bremerich DH; Chappell D; Girard T; Gogarten W; Hanß R; Kaufner L; Neuhaus S; Ninke T; Standl T; Weber S; Jelting Y; Volk T
[Ti] Title:Geburtshilfliche Anästhesie: Altbewährtes, Kontroversen und neue Perspektiven ­ Teil 1. [Update in Obstetric Anesthesia: Tried and Trusted Methods, Controversies and New Perspectives - Part 1].
[So] Source:Anasthesiol Intensivmed Notfallmed Schmerzther;52(10):727-736, 2017 Oct.
[Is] ISSN:1439-1074
[Cp] Country of publication:Germany
[La] Language:ger
[Ab] Abstract:Since 1975, a plethora of lectures within the context of annual meetings relevant for the clinical care has been summarized in "what's new in obstetric anesthesia" by the Society for Obstetric Anesthesia and Perinatology which can be recommended to everyone interested in anaesthesiology in the delivery room. After the death of Gerard W. Ostheimer, Professor of Anaesthesiology at Brigham and Women's Hospital in Boston, Massachusetts, it became renamed the Gerard W. Ostheimer "what's new in obstetric anesthesia" lecture to honor his contributions to regional anesthesia and obstetric anaesthesia. Each year the event held by selected professional representatives and their imprint in leading anesthesia journals give insight into a critical appraisal of recent literature and the possible consequences for - but not only - the anaesthetic delivery room practice.A similar event has been established in Germany for more than 16 years: the obstetrical anesthesia symposium of the academic working group "regional anesthesia and obstetrical anesthesia" 1, 2."Evergreens" or "hot topics" with regard to anaesthesiological delivery room practice are presented and discussed regularly. The lectures often reveal the subtle change of the issues being debated much earlier than traditional textbook chapters do. This manuscript summarizes important findings from the last symposium held in 2016. Part I focuses on relevant causes for maternal morbidity and mortality as well as preventive measures, pregnancy in obese patients and sepsis in obstetric anaesthesia. Part II addresses established standards and new perspectives in the direct obstetric setting regarding epidural analgesia, post-dural puncture headache, anaesthesia and analgesia during and after caesarean section, haemodynamic monitoring during cesarean section and postpartum haemorrhage.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171019
[Lr] Last revision date:171019
[St] Status:In-Process
[do] DOI:10.1055/s-0043-104921

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[PMID]: 28920041
[Au] Autor:Yousefshahi F
[Ad] Address:Department of Anesthesia and Critical Care, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
[Ti] Title:Dexamethasone Increases the Frequency of Post-Dural Puncture Headache (PDPH): An Evidence Based Reality.
[So] Source:Anesth Pain Med;7(1):e42426, 2017 Feb.
[Is] ISSN:2228-7523
[Cp] Country of publication:Netherlands
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170922
[Lr] Last revision date:170922
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5812/aapm.42426

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[PMID]: 28861414
[Au] Autor:Velickovic I; Pujic B; Baysinger CW; Baysinger CL
[Ad] Address:Department of Anesthesiology, SUNY Downstate Medical Center, Brooklyn, NY, United States.
[Ti] Title:Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia.
[So] Source:Front Med (Lausanne);4:133, 2017.
[Is] ISSN:2296-858X
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:The widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CSA offers an alternative to epidural anesthesia in morbidly obese women, women with severe cardiac disease, and patients with prior spinal surgery. It should be strongly considered in parturients who receive an accidental dural puncture with a large bore needle, on the basis of recent work suggesting significant reduction in PDPH when intrathecal catheters are used. Small doses of drug can be administered and extension of labor analgesia for emergency cesarean delivery may occur more rapidly compared to continuous epidural techniques.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1709
[Cu] Class update date: 170903
[Lr] Last revision date:170903
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.3389/fmed.2017.00133

  10 / 643 MEDLINE  
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[PMID]: 28823090
[Au] Autor:Gunaydin B; Acar M; Emmez G; Akcali D; Tokgoz N
[Ad] Address:Department of Anesthesiology, Gazi University School of Medicine, 06500, Besevler-Ankara, Turkey. gunaydin@gazi.edu.tr.
[Ti] Title:Epidural patch with autologous platelet rich plasma: a novel approach.
[So] Source:J Anesth;31(6):907-910, 2017 Dec.
[Is] ISSN:1438-8359
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:We aimed to perform an epidural patch using platelet rich plasma (PRP), which has the potential to regenerate and heal tissues via degranulation of platelets, in a 34-year-old parturient suffering from persistent post-dural puncture headache (PDPH) after failed epidural blood patch (EBP). After her admission to our unit, we reconfirmed the clinical and radiologic diagnosis of PDPH. Cranial MRI with contrast showed diffuse pachymeningeal thickening and contrast enhancement with enlarged pituitary consistent with intracranial hypotension. Clinical and radiological improvements were observed 1 week after the epidural patch using autologous PRP. Therefore, we recommend using autologous PRP for epidural patching in patients with incomplete recovery after standard EBP as a novel successful approach.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 171113
[Lr] Last revision date:171113
[St] Status:In-Process
[do] DOI:10.1007/s00540-017-2400-9


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