Chronic headache and backache are long-term sequelae of unintentional dural puncture in the obstetric population.
Identifieur interne : 000853 ( PubMed/Checkpoint ); précédent : 000852; suivant : 000854Chronic headache and backache are long-term sequelae of unintentional dural puncture in the obstetric population.
Auteurs : Pavithra Ranganathan ; Chaim Golfeiz ; Amy L. Phelps ; Sukhdip Singh ; Helen Shnol ; Nicole Paul ; Ahmed F. Attaallah ; Manuel C. Vallejo [Oman]Source :
- Journal of clinical anesthesia [ 1873-4529 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Anesthésie obstétricale, Anesthésie péridurale.
- étiologie : Céphalées, Dorsalgie.
- Céphalée post-ponction durale, Femelle, Grossesse, Humains.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Anesthesia, Epidural, Anesthesia, Obstetrical.
- complications : Post-Dural Puncture Headache.
- etiology : Back Pain, Headache Disorders.
- Female, Humans, Pregnancy.
Abstract
Unintentional dural puncture (UDP) and postdural puncture headache (PDPH) occur during the course of epidural catheter placement for labor analgesia with a reported incidence of 1%-5%. After UDP with an epidural needle, 80%-86% of patients develop PDPH. Acute symptoms after UDP are well known. However, few studies have evaluated the long-term complications of UDP, which is important in assisting parturients in the decision-making informed consent process. We sought to elucidate the long-term (>6 weeks) sequelae of PDPH by examining parturients who had UDP (both recognized and unrecognized) associated with labor epidural analgesia.
DOI: 10.1016/j.jclinane.2014.07.008
PubMed: 25483233
Affiliations:
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Phelps</name><affiliation><nlm:affiliation>Duquesne University, Pittsburgh, PA, 15282.</nlm:affiliation><wicri:noCountry code="subField">15282</wicri:noCountry></affiliation></author><author><name sortKey="Singh, Sukhdip" sort="Singh, Sukhdip" uniqKey="Singh S" first="Sukhdip" last="Singh">Sukhdip Singh</name><affiliation><nlm:affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</nlm:affiliation><wicri:noCountry code="subField">15213</wicri:noCountry></affiliation></author><author><name sortKey="Shnol, Helen" sort="Shnol, Helen" uniqKey="Shnol H" first="Helen" last="Shnol">Helen Shnol</name><affiliation><nlm:affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</nlm:affiliation><wicri:noCountry code="subField">15213</wicri:noCountry></affiliation></author><author><name sortKey="Paul, Nicole" sort="Paul, Nicole" uniqKey="Paul N" first="Nicole" last="Paul">Nicole Paul</name><affiliation><nlm:affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</nlm:affiliation><wicri:noCountry code="subField">15213</wicri:noCountry></affiliation></author><author><name sortKey="Attaallah, Ahmed F" sort="Attaallah, Ahmed F" uniqKey="Attaallah A" first="Ahmed F" last="Attaallah">Ahmed F. Attaallah</name><affiliation><nlm:affiliation>West Virginia University School of Medicine, Morgantown, WV, 26506.</nlm:affiliation><wicri:noCountry code="subField">26506</wicri:noCountry></affiliation></author><author><name sortKey="Vallejo, Manuel C" sort="Vallejo, Manuel C" uniqKey="Vallejo M" first="Manuel C" last="Vallejo">Manuel C. Vallejo</name><affiliation wicri:level="1"><nlm:affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213; West Virginia University School of Medicine, Morgantown, WV, 26506. Electronic address: vallejom@wvuhealthcare.com.</nlm:affiliation><country wicri:rule="url">Oman</country></affiliation></author></analytic><series><title level="j">Journal of clinical anesthesia</title><idno type="eISSN">1873-4529</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anesthesia, Epidural (adverse effects)</term><term>Anesthesia, Obstetrical (adverse effects)</term><term>Back Pain (etiology)</term><term>Female</term><term>Headache Disorders (etiology)</term><term>Humans</term><term>Post-Dural Puncture Headache (complications)</term><term>Pregnancy</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anesthésie obstétricale (effets indésirables)</term><term>Anesthésie péridurale (effets indésirables)</term><term>Céphalée post-ponction durale ()</term><term>Céphalées (étiologie)</term><term>Dorsalgie (étiologie)</term><term>Femelle</term><term>Grossesse</term><term>Humains</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Anesthesia, Epidural</term><term>Anesthesia, Obstetrical</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Post-Dural Puncture Headache</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Anesthésie obstétricale</term><term>Anesthésie péridurale</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Back Pain</term><term>Headache Disorders</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Céphalées</term><term>Dorsalgie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Pregnancy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Céphalée post-ponction durale</term><term>Femelle</term><term>Grossesse</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Unintentional dural puncture (UDP) and postdural puncture headache (PDPH) occur during the course of epidural catheter placement for labor analgesia with a reported incidence of 1%-5%. After UDP with an epidural needle, 80%-86% of patients develop PDPH. Acute symptoms after UDP are well known. However, few studies have evaluated the long-term complications of UDP, which is important in assisting parturients in the decision-making informed consent process. We sought to elucidate the long-term (>6 weeks) sequelae of PDPH by examining parturients who had UDP (both recognized and unrecognized) associated with labor epidural analgesia.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25483233</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>13</Day></DateCreated><DateCompleted><Year>2016</Year><Month>02</Month><Day>04</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4529</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>May</Month></PubDate></JournalIssue><Title>Journal of clinical anesthesia</Title><ISOAbbreviation>J Clin Anesth</ISOAbbreviation></Journal><ArticleTitle>Chronic headache and backache are long-term sequelae of unintentional dural puncture in the obstetric population.</ArticleTitle><Pagination><MedlinePgn>201-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jclinane.2014.07.008</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0952-8180(14)00346-8</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Unintentional dural puncture (UDP) and postdural puncture headache (PDPH) occur during the course of epidural catheter placement for labor analgesia with a reported incidence of 1%-5%. After UDP with an epidural needle, 80%-86% of patients develop PDPH. Acute symptoms after UDP are well known. However, few studies have evaluated the long-term complications of UDP, which is important in assisting parturients in the decision-making informed consent process. We sought to elucidate the long-term (>6 weeks) sequelae of PDPH by examining parturients who had UDP (both recognized and unrecognized) associated with labor epidural analgesia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Parturients with a documented UDP (n = 308) over a 5-year period were followed up for acute and long-term residual symptoms (lasting >6 weeks) and compared with a control group (no documented UDP, n = 50) in the same period. Specific symptoms included headache, backache, neck ache, auditory symptoms, and visual symptoms.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In comparing parturients with a UDP with control group (no UDP), differences were noted in overall acute symptoms (75.9% vs 21.7%, P < .001), specifically headache (87.0% vs 8.7%, P < .001), backache (47.2% vs 19.6%, P = .002), neck ache (30.1% vs 2.2%, P < .001), auditory (13.8% vs 0%, P = .02), and visual symptoms (19.5% vs 0%, P = .002). Differences were also noted in comparing chronic symptoms (26.5% vs 10.9%, P = .04) and specifically with respect to chronic headache (34.9% vs 2.2%, P < .001), backache (58.1% vs 4.4%, P < .001), and neck ache (14.0% vs 0%, P = .02). No differences were noted between groups in comparing chronic auditory and visual symptoms.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Chronic headache and backache sequelae persist in the obstetrical population after UDP. When parturients are considering labor epidural analgesia, long-term sequelae should be discussed in the informed consent decision-making process.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ranganathan</LastName><ForeName>Pavithra</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>West Virginia University School of Medicine, Morgantown, WV, 26506.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Golfeiz</LastName><ForeName>Chaim</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Phelps</LastName><ForeName>Amy L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Duquesne University, Pittsburgh, PA, 15282.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Sukhdip</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shnol</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paul</LastName><ForeName>Nicole</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Attaallah</LastName><ForeName>Ahmed F</ForeName><Initials>AF</Initials><AffiliationInfo><Affiliation>West Virginia University School of Medicine, Morgantown, WV, 26506.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vallejo</LastName><ForeName>Manuel C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, 15213; West Virginia University School of Medicine, Morgantown, WV, 26506. Electronic address: vallejom@wvuhealthcare.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Anesth</MedlineTA><NlmUniqueID>8812166</NlmUniqueID><ISSNLinking>0952-8180</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000767" MajorTopicYN="N">Anesthesia, Epidural</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000773" MajorTopicYN="N">Anesthesia, Obstetrical</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001416" MajorTopicYN="N">Back Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020773" MajorTopicYN="N">Headache Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D051299" MajorTopicYN="N">Post-Dural Puncture Headache</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Dural puncture</Keyword><Keyword MajorTopicYN="N">Epidural</Keyword><Keyword MajorTopicYN="N">Long-term complications</Keyword><Keyword MajorTopicYN="N">Sequelae</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>01</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>07</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25483233</ArticleId><ArticleId IdType="pii">S0952-8180(14)00346-8</ArticleId><ArticleId IdType="doi">10.1016/j.jclinane.2014.07.008</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Oman</li></country></list><tree><noCountry><name sortKey="Attaallah, Ahmed F" sort="Attaallah, Ahmed F" uniqKey="Attaallah A" first="Ahmed F" last="Attaallah">Ahmed F. Attaallah</name><name sortKey="Golfeiz, Chaim" sort="Golfeiz, Chaim" uniqKey="Golfeiz C" first="Chaim" last="Golfeiz">Chaim Golfeiz</name><name sortKey="Paul, Nicole" sort="Paul, Nicole" uniqKey="Paul N" first="Nicole" last="Paul">Nicole Paul</name><name sortKey="Phelps, Amy L" sort="Phelps, Amy L" uniqKey="Phelps A" first="Amy L" last="Phelps">Amy L. Phelps</name><name sortKey="Ranganathan, Pavithra" sort="Ranganathan, Pavithra" uniqKey="Ranganathan P" first="Pavithra" last="Ranganathan">Pavithra Ranganathan</name><name sortKey="Shnol, Helen" sort="Shnol, Helen" uniqKey="Shnol H" first="Helen" last="Shnol">Helen Shnol</name><name sortKey="Singh, Sukhdip" sort="Singh, Sukhdip" uniqKey="Singh S" first="Sukhdip" last="Singh">Sukhdip Singh</name></noCountry><country name="Oman"><noRegion><name sortKey="Vallejo, Manuel C" sort="Vallejo, Manuel C" uniqKey="Vallejo M" first="Manuel C" last="Vallejo">Manuel C. 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