Chronic consequences of accidental dural puncture and postdural puncture headache in obstetric anaesthesia - sieving through the evidence.


Journal

Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436

Informations de publication

Date de publication:
01 Oct 2024
Historique:
medline: 11 9 2024
pubmed: 11 9 2024
entrez: 11 9 2024
Statut: ppublish

Résumé

Accidental dural puncture (ADP) and postdural puncture headache (PDPH) are relatively common complications of neuraxial anaesthesia and analgesia in obstetrics. Both may result in acute and chronic morbidity. This review intends to discuss the chronic implications of ADP and PDPH and raise awareness of severe and potentially life-threatening conditions associated with them. ADP may be associated with a high rate of PDPH, prolonged hospitalization and increased readmissions. Studies have shown that PDPH may lead to chronic complications such as post-partum depression (PPD), post-traumatic stress disorder (PTSD), chronic headache, backache and reduced breastfeeding rates. There are many case reports indicating that major, severe, life-threatening neurologic complications may follow PDPH in obstetric patients including subdural haematoma and cerebral venous thrombosis. Many clinicians still believe that ADP and PDPH are benign and self-limiting conditions whereas there may be serious and devastating consequences of both. It is imperative that all women with ADP and PDPH are appropriately diagnosed and treated.

Identifiants

pubmed: 39258349
doi: 10.1097/ACO.0000000000001399
pii: 00001503-202410000-00014
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

533-540

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Références

Olesen J. International classification of headache disorders. Lancet Neurol 2018; 17:396–397.
Apfel CC, Saxena A, Cakmakkaya OS, et al. Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. Br J Anaesth 2010; 105:255–263.
Guglielminotti J, Landau R, Li G. Major neurologic complications associated with postdural puncture headache in obstetrics: a retrospective cohort study. Anesth Analg 2019; 129:1328–1336.
Bamber JH, Lucas DN, Plaat F, et al. The identification of key indicators to drive quality improvement in obstetric anaesthesia: results of the Obstetric Anaesthetists’ Association/National Perinatal Epidemiology Unit collaborative Delphi project. Anaesthesia 2020; 75:617–625.
Van de Velde M, Schepers R, Berends N, et al. Ten years of experience with accidental dural puncture and postdural puncture headache in a tertiary obstetric anaesthesia department. Int J Obstet Anesth 2008; 17:329–335.
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 Anaesthesiol Scand 1995; 39:605–612.
Paech M, Banks S, Gurrin L. An audit of accidental dural puncture during epidural insertion of a Tuohy needle in obstetric patients. Int J Obstet Anesth 2001; 10:162–167.
Hollister N, Todd C, Ball S, et al. Minimising the risk of accidental dural puncture with epidural analgesia for labour: a retrospective review of risk factors. Int J Obstet Anesth 2012; 21:236–241.
Mahoney B, Holck G, Cappiello E, et al. Chronotropic variation in the incidence of unintentional dural puncture in parturients undergoing epidural placement. Int J Obstet Anesth 2015; 24:192–193.
Elterman KG, Tsen LC, Huang C, Farber MK. The influence of a night-float call system on the incidence of unintentional dural puncture: a retrospective impact study. Anesth Analg 2015; 120:1095–1098.
Aya AG, Mangin R, Robert C, et al. Increased risk of unintentional dural puncture in night-time obstetric epidural anesthesia. Can J Anaesth 1999; 46:665–669.
Cowan CM, Moore EW. A survey of epidural technique and accidental dural puncture rates among obstetric anaesthetists. Int J Obstet Anesth 2001; 10:11–16.
Antibas PL, do Nascimento Junior P, Braz LG, et al. Air versus saline in the loss of resistance technique for identification of the epidural space. Cochrane Database Syst Rev 2014; 2014:CD008938.
Orbach-Zinger S, Ashwal E, Hazan L, et al. Risk factors for unintended dural puncture in obstetric patients: a retrospective cohort study. Anesth Analg 2016; 123:972–976.
Hood DD, Dewan DM. Anesthetic and obstetric outcome in morbidly obese parturients. Anesthesiology 1993; 79:1210–1218.
Miu M, Paech MJ, Nathan E. The relationship between body mass index and postdural puncture headache in obstetric patients. Int J Obstet Anesth 2014; 23:371–375.
Baysinger CL. Accidental dural puncture and postdural puncture headache management. Int Anesthesiol Clin 2014; 52:18–39.
Peralta F, Higgins N, Lange E, et al. The relationship of body mass index with the incidence of postdural puncture headache in parturients. Anesth Analg 2015; 121:451–456.
Angle P, Thompson D, Halpern S, Wilson DB. Second stage pushing correlates with headache after unintentional dural puncture in parturients. Can J Anaesth 1999; 46:861–866.
Song J, Zhang T, Choy A, et al. Impact of obesity on postdural puncture headache. Int J Obstet Anesth 2017; 30:5–9.
Schyns-van den Berg AMJV, Gupta A. Postdural puncture headache: revisited. Best Pract Res Clin Anaesthesiol 2023; 37:171–187.
Maranhao B, Liu M, Palanisamy A, et al. The association between postdural puncture headache and needle type during spinal anaesthesia: a systematic review and network meta-analysis. Anaesthesia 2021; 76:1098–1110.
Angle P, Tang SLT, Thompson D, Szalai JP. Expectant management of postdural puncture headache increases hospital length of stay and emergency room visits. Can J Anaesth 2005; 52:397–402.
Webb CA, Weyker PD, Zhang L, et al. Unintentional dural puncture with a Tuohy needle increases risk of chronic headache. Anesth Analg 2012; 115:124–132.
Hammad T, DeDent A, Algahtani R, et al. Posterior reversible encephalopathy syndrome secondary to CSF leak and intracranial hypotension: a case report and literature review. Case Rep Neurol Med 2015; 2015:538523.
Shah R, Kubisz-Pudelko A, Reid J. Posterior reversible encephalopathy syndrome following an inadvertent dural puncture during an emergency laparotomy for ischemic colitis - a case report. Local Reg Anesth 2014; 7:1–4.
Gómez-Ríos MÁ, Fernández-Goti MC. Pneumocephalus after inadvertent dural puncture during epidural anesthesia. Anesthesiology 2013; 118:444.
Liang M, Pagel PS. Bilateral interhemispheric subdural hematoma after inadvertent lumbar puncture in a parturient. Can J Anaesth 2012; 59:389–393.
Marino F, Simões AF, Simas Â, Pereira JG. Pneumocephalus following an accidental dural puncture, treated using hyperbaric oxygen therapy. A case report. J Crit Care Med (Targu Mures) 2021; 7:237–240.
Amorim JA, Valença MM. Postdural puncture headache is a risk factor for new postdural puncture headache. Cephalalgia 2008; 28:5–8.
Kunkle EC, Ray BS, Wolff HG. Experimental studies on headache: analysis of the headache associated with changes in intracranial pressure. Arch Neurol Psychiatry 1943; 49:323–358.
Ahmed I, Majeed A, Fernando R, et al. Magnetic resonance imaging of cerebrospinal fluid spread in the epidural space and postdural puncture headache in obstetrics: a proof-of-concept study. Eur J Anaesthesiol 2021; 38:777–784.
Orbach-Zinger S, Eidelman LA, Livne MY, et al. Long-term psychological and physical outcomes of women after postdural puncture headache: a retrospective, cohort study. Eur J Anaesthesiol 2021; 38:130–137.
Freedman RL, Lucas DN. MBRRACE-UK: saving lives, improving mothers’ care - implications for anaesthetists. Int J Obstet Anesth 2015; 24:161–173.
Bos EM, van der Lee K, Haumann J, et al. Intracranial hematoma and abscess after neuraxial analgesia and anesthesia: a review of the literature describing 297 cases. Reg Anesth Pain Med 2021; 46:337–343.
Cuypers V, Van de Velde M, Devroe S. Intracranial subdural haematoma following neuraxial anaesthesia in the obstetric population: a literature review with analysis of 56 reported cases. Int J Obstet Anesth 2016; 25:58–65.
Mullane D, Tan T. Three cerebral venous sinus thromboses following inadvertent dural puncture: a case series over an eight-year period. Can J Anaesth 2014; 61:1134–1135.
Ghatge S, Uppugonduri S, Kamarzaman Z. Cerebral venous sinus thrombosis following accidental dural puncture and epidural blood patch. Int J Obstet Anesth 2008; 17:267–270.
Chambers DJ, Bhatia K, Columb M. Postpartum cerebral venous sinus thrombosis following obstetric neuraxial blockade: a literature review with analysis of 58 case reports. Int J Obstet Anesth 2022; 49:103218.
Lee LA, Posner KL, Domino KB, et al. Injuries associated with regional anesthesia in the 1980 s and 1990 s: a closed claims analysis. Anesthesiology 2004; 101:143–152.
Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques: an updated report by the American Society of Anesthesiologists Task Force on Infectious Complications Associated with Neuraxial Techniques and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology 2017; 126:585--601.
Zhang Q, Pang SY, Liu CW. Chronic headaches related to postdural puncture headaches: a scoping review. Br J Anaesth 2022; 129:747–757.
Schievink WI, Maya MM, Moser FG. Digital subtraction myelography in the investigation of postdural puncture headache in 27 patients: technical note. J Neurosurg Spine 2017; 26:760–764.
Binyamin Y, Heesen P, Orbach-Zinger S, et al. Chronic pain in parturients with an accidental dural puncture: a case-controlled prospective observational study. Acta Anaesthesiol Scand 2021; 65:959–966.
MacArthur C, Lewis M, Knox EG. Accidental dural puncture in obstetric patients and long term symptoms. BMJ 1993; 306:883–885.
van Oosterhout WPJ, van der Plas AA, van Zwet EW, et al. Postdural puncture headache in migraineurs and nonheadache subjects: a prospective study. Neurology 2013; 80:941–948.
Hebl JR, Horlocker TT, Kopp SL, Schroeder DR. Neuraxial blockade in patients with preexisting spinal stenosis, lumbar disk disease, or prior spine surgery: efficacy and neurologic complications. Anesth Analg 2010; 111:1511–1519.
Fisch RZ, Tadmor OP, Dankner R, Diamant YZ. Postnatal depression: a prospective study of its prevalence, incidence and psychosocial determinants in an Israeli sample. J Obstet Gynaecol Res 1997; 23:547–554.
Le Strat Y, Dubertret C, Le Foll B. Prevalence and correlates of major depressive episode in pregnant and postpartum women in the United States. J Affect Disord 2011; 135 (1–3):128–138.
Dennis C, McQueen K. The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review. Pediatrics 2009; 123:736–751.
Dias CC, Figueiredo B. Breastfeeding and depression: a systematic review of the literature. J Affect Disord 2015; 171:142–154.

Auteurs

Sarah Armstrong (S)

Frimley Health Foundation Trust, Surrey.
St George's University London Medical School, London.
Southampton University, Southampton, UK.

Roshan Fernando (R)

Department of Anesthesiology and Intensive Care Medicine, Women's Wellness and Research Centre, Hamad Medical Corporation, Doha, Qatar.
University College London, London, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH