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Epidural blood patch treatment for headache caused by a ruptured Tarlov cyst

Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research

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Abhijit S NairSaudi Journal of Anaesthesia 2018 12(1):159-160
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
CONCLUSION: Betamethasone with/without droperidol was effective in decreasing PONV in high risk cardiac surgical patients without any side effect. PMID: 29336385 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
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 (...
Source: Pain Management Nursing - Category: Nursing Authors: Tags: Review Article Source Type: research
Conclusion The average duration of analgesic effect of the block remains poorly defined. In the cases reported, blocking with ropivacaine was a simple, safe and effective technique, with immediate and sustained pain relief for at least 12–24h.
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Following an uneventful pregnancy, a 31-year-old woman was admitted to the maternity ward at 39 weeks of gestation. Delivery was complicated by profuse uterine hemorrhage, necessitating emergency revision under general anaesthesia and transfusion of 8 units of blood, 2 units of gelofusine and 1l of Ringer's lactate. The patient was transferred to the normal ward several hours later but complained of severe headache with associated nausea and photophobia. An intracerebral bleed was ruled out by computed tomography and no sinus vein thrombosis was detected by magnetic resonance (MR) tomography.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research
THE modified cotton swab applicator assembled from ubiquitous components found in most operating rooms is an alternative to costly commercial devices (Tx360 [Tian Medical, LLC, Grayslake, Illinois] and Sphenocath [Dolor Technologies, LLC, Salt Lake City, Utah]) for sphenopalatine ganglion nerve blocks. Anesthetizing the sphenopalatine ganglion is both diagnostic and therapeutic for cluster, migraine,1,2 and postdural puncture headaches.2 The largest of the four parasympathetic ganglions associated with the trigeminal nerve,3 the sphenopalatine ganglion, sits in the pterygopalatine fossa close to the sphenopalatine foramen ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
View Original Article Here: How Long Does Shingles Last In The Elderly? Shingles is a viral infection that follows a varicella-zoster infection, although it can take decades for symptoms of the secondary disease to emerge. The condition presents as a painful and blistering rash, but it is not life-threatening. According to the Center for Disease Control, there are nearly one million cases in the United States each year, and almost half of those cases are in older adults over age 60. Some people only see one instance of the illness, while others have recurring symptoms, but 30 percent of Americans will develop shingles at s...
Source: Shield My Senior - Category: Geriatrics Authors: Tags: Senior Safety Source Type: blogs
Conclusions Headache is among the areas that interest our residents the most; however, we believe that we must improve their training both at a patient healthcare level and as researchers. Thus, increasing the number of available courses, creating educational web pages, involving residents in research, and making a rotation in a specialised unit mandatory are among the fundamental objectives of the GECSEN.
Source: Neurologia - Category: Neurology Source Type: research
(Int J Obstet Anesth 2017;29:10–17) Postdural puncture headache (PDPH) is one of the most common obstetric anesthesia complications. One estimate of the proportion of parturients suffering a PDPH is 1.5%. However, among obstetric patients who have experienced a dural puncture with an epidural needle (epidural wet tap) rates of PDPH have been reported as high as 81%. While an epidural blood patch (EBP) is a standard treatment for PDPH, with success rates from different studies varying between 61% and 98%, there is no general consensus regarding the optimal volume of blood to be used for the procedure.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mechanisms, Equipment, Hazards Source Type: research
Reversible cerebrovascular vasoconstriction syndrome is an uncommon condition that presents as severe headache and hypertension. Recent literature suggests a 1% incidence in postpartum headache cases. It can cause subarachnoid hemorrhages, cerebral ischemia, and seizures. It is often misdiagnosed as postdural puncture headache or preeclampsia. In this case, a postpartum woman, who had received epidural anesthesia for labor, presented 5 days postpartum with severe headache that did not resolve with an epidural blood patch. She then became more hypertensive and suffered a grand mal seizure. When treatment for eclampsia faile...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
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