RT Journal Article
SR Electronic
T1 Reducing the incidence of post-dural puncture headache
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 32
OP 34
DO 10.7861/clinmedicine.13-1-32
VO 13
IS 1
A1 Sara Waise
A1 David Gannon
YR 2013
UL http://www.rcpjournals.org/content/13/1/32.abstract
AB First reported in 1898, post-dural puncture headache (PDPH) remains a significant clinical issue. Here, we present a brief case history and a summary of the current evidence for methods to reduce PDPH rates, along with the experience in our department of implementing these methods in clinical practice. The key points to note are that needle design, gauge and orientation, as well as stylet reinsertion, are factors known to affect the incidence of PDPH, and that there is no evidence to support the use of hydration and bed rest to reduce headache following dural puncture.