Observational Study
doi: 10.1016/j.bja.2020.07.061.
Epub 2020 Oct 8.
Management practices for postdural puncture headache in obstetrics: a prospective, international, cohort study
Collaborators,
Affiliations
Collaborators
-
EPiMAP collaborators:
Isabelle Casier 9 , Bart Bryon 10 , Filiep Soetens 10 , Pierre-Yves Dewandre 11 , Geraldine Lambert 11 , Jan Christiaen 12 , Roel Schepers 12 , Patrick Van Houwe 12 , Alain Kalmar 13 , Henk Vanoverschelde 13 , Monique Bauters 14 , Eva Roofthooft 14 , Sarah Devroe 15 , Marc Van de Velde 15 , Ana Jadrijevic, Aleksandra Jokic 16 , Damjan Marin 16 , Ivan Sklebar 16 , Slobodan Mihaljević 17 , Martina Kosinova 18 , Petr Stourac 18 , Milan Adamus 19 , Christian Kufa 20 , Ivana Volfová 20 , Blažena Zaoralová 20 , Christina Froeslev-Friis 21 , Bjoern Mygil 21 , Charlotte Krebs Albrechtsen 22 , Tomi Kavasmaa 23 , Seppo Alahuhta 24 , Anne Mäyrä 25 , Susanna Mennander 25 , Kati Rautaneva 25 , Tuula Hiekkanen 26 , Vesa Kontinen 26 , Kirsti Linden 26 , Sara Toivakka 26 , Emmanuel Boselli 27 , Pierre-Édouard Greil 27 , Olivier Mascle 27 , Aurelie Courbon 28 , Jean Lutz 28 , Thérèse Simonet 29 , Marie Barbier 30 , Tarik Hlioua 30 , Fleur Meniolle d'Hauthville 30 , Christine Quintin 30 , Karim Bouattour 31 , Agnès Lecinq 31 , Mickaël Soued 31 , Marie-Pierre Bonnet 32 , Mathieu Carbonniere 32 , Catherine Fischer 32 , Paola-Carla Picard 32 , Martine Bonnin 33 , Brigitte Storme 33 , Anne-Sophie Bouthors 34 , Thomas Detente 34 , Minh Nguyen Troung 34 , Hawa Keita 35 , Sophie Nebout 35 , Lauranne Osse 35 , Anne Delmas 36 , Florence Vial 37 , Lutz Kaufner 38 , Christoph Hoefing 39 , Stefan Mueller 39 , Karin Becke 40 , Manfred Blobner 41 , Heidrun Lewald 41 , Stefan Josef Schaller 41 , Ellis Muggleton 42 , Birgit Bette 43 , Claudia Neumann 43 , Stefan Weber 43 , Matthias Grünewald 44 , Henning Ohnesorge 44 , Antonia Helf 45 , Yvonne Jelting 45 , Peter Kranke 45 , Christian von Heymann 46 , Sabine Welfle 46 , Chryssoula Staikou 47 , Antonia Stavrianopoulou 47 , Athanasia Tsaroucha 47 , Konstantina Kalopita 48 , Anastasia Loukeri 48 , Dimitrios Valsamidis 48 , Paraskevi Matsota 49 , Adalbjörn Thorsteinsson 50 , Riad Tome 51 , Leonid A Eidelman 52 , Atara Davis 52 , Sharon Orbach-Zinger 52 , Alexander Ioscovich 53 , Iacob Ramona 53 , Luigi De Simone 54 , Barbara Pesetti 54 , Luca Brazzi 55 , Alessandro Zito 55 , Michela Camorcia 56 , Giorgio Della Rocca 57 , Marco Aversano 58 , Maria Grazia Frigo 58 , Cristina Todde 58 , Qamile Morina 59 , Andrius Macas 60 , Grazina Keraitiene 60 , Kestutis Rimaitis 60 , Francis Borg 61 , Carl Tua 61 , Agnes Geertje Kuijpers-Visser 62 , Alexandra Schyns-van den Berg 62 , Markus W Hollmann 63 , Tijs Van den Berg 63 , Eric Koolen 64 , Ilse Dons 65 , Anouk van der Knijff 65 , Caroline van der Marel 65 , Nele Ruysschaert 66 , Michal Pelka 67 , Christine Pluymakers 67 , Seppe Koopman 68 , Aart-Jan Teunissen 68 , Dick Cornelisse 69 , Nick van Dasselaar 69 , Bastiaan Verdouw 69 , Ingrid Beenakkers 70 , Vegard Dahl 71 , Robert Hagen 71 , Francesco Vivaldi 72 , John Reidar Eriksen 73 , Radovan Wiszt 74 , Naz Aslam Tayyaba 75 , Else-Marie Ringvold 75 , Radosław Chutkowski 76 , Tomasz Skirecki 76 , Bartłomiej Wódarski 76 , Maria Aida Faria 77 , Amélia Ferreira 77 , Ana Catarina Sampaio 77 , Irene Ferreira 78 , Bernardo Matias 78 , Joana Teixeira 78 , Rita Araujo 79 , Herminia Cabido 79 , Rosario Fortuna 79 , Paulo Lemos 79 , Carolina Cardoso 80 , Fernando Moura 80 , Cristiana Pereira 80 , Sandra Pereira 80 , Francisca Tavares 80 , Pedro Vasconcelos 80 , Manuel Abecasis 81 , Filipa Lança 81 , Paulo Muchacho 81 , Lucindo Ormonde 81 , Isabel Guedes-Araujo 82 , Vitor Pinho-Oliveira 82 , Paulo Paredes 83 , Carla Bentes 84 , Francisco Gouveia 84 , Ana Milheiro 84 , Cláudia Castanheira 85 , Miriam Neves 85 , Vânia Pacheco 85 , Mara Cortez 86 , Raquel Tranquada 86 , Glória Tareco 87 , Inês Furtado 88 , Estela Pereira 88 , Luísa Marinho 89 , Manue Seabra 89 , Aleksandra Bulasevic 90 , Mirjana Kendrisic 90 , Lidija Jovanovic 91 , Borislava Pujić 91 , Marija Kutlesic 92 , Monika Grochova 93 , Jana Simonova 93 , Gordana Pavlovic 94 , Ales Rozman 94 , Iva Blajic 95 , Dragan Graovac 95 , Tatjana Stopar Pintraic 95 , Teresa Chiquito 96 , Pablo Monedero 96 , De Joaquin Carlos-Errea 97 , Roque Guillén-Casbas 97 , Leonor Veiga-Gil 97 , Morena Basso 98 , Carolina Garcia Bartolo 98 , Cristian Hernandez 98 , Laura Ricol 98 , Maroto Pinar De Santos 99 , Josep A Gràcia Solsona 99 , Manuel López-Baamonde 99 , Marta Magaldi Mendaña 99 , Ana María Plaza Moral 99 , Marina Vendrell 99 , Lourdes Trillo 100 , Anibal Ricardo Perez Garcia 101 , Clara Alamillo Salas 102 , Enric Moret 103 , Laura Ramió 103 , Jose Luis Aguilar Sanchez 104 , Maria Soler Pedrola 104 , Maria Inmaculada Valldeperas Hernandez 104 , Gorka Aldalur 105 , Estíbaliz Bárcena 106 , Julia Herrera 106 , Fernando Iturri 106 , Alberto Martínez 106 , Leire Martínez 106 , Rosa Serna 106 , Fernando Gilsanz 107 , Emilia Guasch Arevalo 107 , Fabrizio Iannuccelli 107 , Julieta Latorre 107 , Cristina Rodriguez Roca 107 , Osvaldo Ceferino Pérez Pardo 108 , Natalia Sierra Biddle 108 , Ceferina Suárez Cendaña 108 , Lourdes Hernández González 109 , Caridad Remacha González 109 , Raquel Sánchez Nuez 109 , Diego Anta 110 , Jose M Beleña 110 , Carmen García-Cuadrado 110 , Irene Garcia 111 , Susana Manrique 111 , Elena Suarez 111 , Anette Hein 112 , Elisabet Arbman 113 , Helena Hansson 113 , Monika Tillenius 113 , Ruaa Al-Taie 114 , Susanne Ledin-Eriksson 114 , Anja Lindén-Söndersö 115 , Ola Rosén 115 , Evija Austruma 116 , Lars Gillberg 116 , Bijan Darvish 117 , Anil Gupta 117 , Johan L Nordstöm 117 , Jan Persson 118 , Jan Rosenberg 118 , Lars Brühne 119 , Johan Forshammar 119 , Malin Ugarph Edfeldt 120 , Håkan Rolfsson 121 , Anna Hellblom 122 , Katarina Levin 122 , Sofus Rabow 122 , Karin Thorlacius 122 , Peter Bansch 123 , Moira Robertson Baeriswyl 124 , Ulrike Stamer 125 , Stanislas Mathivon 126 , Georges Savoldelli 126 , Pia Auf der Maur 127 , Miodrag Filipovic 127 , Alexander Dullenkopf 128 , Maya Brunner 129 , Thierry Girard 129 , Claudia Vonlanthen 129 , Sule Ozbilgin 130 , Berrin Gunaydin D 131 , Pelin Corman Dincer 132 , Ayca Tas Tuna 133
Affiliations
- 1 Department of Perioperative Medicine and Intensive Care and Institution of Physiology and Pharmacology, Karolinska Hospital and Karolinska Institutet, Stockholm, Sweden. Electronic address: anil.gupta@sll.se.
- 2 Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
- 3 Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
- 4 Department of Anaesthesiology, Medical Research Center Oulu, University of Oulu, Oulu University Hospital, Oulu, Finland.
- 5 Department of Anesthesiology and Intensive Care Medicine, The Womens Wellness and Research Centre, Doha, Qatar.
- 6 Department of Cardiovascular Sciences, KULeuven, Leuven, Belgium.
- 7 Département d'Anesthésie, Hôpital Antoine Béclère, AP-HP, Université Paris-Saclay, France.
- 8 Department of Anesthesiology, Albert Schweitzer Ziekenhuis, Dordrecht and Department of Anesthesiology, Leiden University Medical Centre, Leiden, The Netherlands.
- 9 AZ Groeninge, Belgium.
- 10 AZ Turnhout, Belgium.
- 11 CHR Citadelle Liège, Belgium.
- 12 GZA SA, Belgium.
- 13 Maria Middelares Hospital, Belgium.
- 14 ZNA Middelheim, Belgium.
- 15 UZ Leuven, Belgium.
- 16 Clinical Hospital Sveti Duh, Croatia.
- 17 Obstetrics and Gynecology Clinic, Croatia.
- 18 University Hospital Brno, Czech Republic.
- 19 University Hospital Olomouc, Czech Republic.
- 20 University Hospital Ostrava, Czech Republic.
- 21 OUH, Denmark.
- 22 Rigshospitalet, Denmark.
- 23 Central Finland Health Care District, Finland.
- 24 Oulu University Hospital, Finland.
- 25 Tampere University Hospital, Finland.
- 26 University of Helsinki and Helsinki University Hospital, Jorvi Hospital, Finland.
- 27 Centre hospitalier Pierre Oudot, France.
- 28 CHER Le Puy en Velay, France.
- 29 CHU Caen, France.
- 30 CHU Montpellier, France.
- 31 Hôpital Antoine Béclère, France.
- 32 Hôpital Cochin-Port Royal, France.
- 33 Hôpital Estaing, CHU Clermont-Ferrand, France.
- 34 Hôpital Jeanne de Flandre CHRU Lille, France.
- 35 Hôpital Louis Mourier, France.
- 36 Hôpital Nord, France.
- 37 Maternité Régionale de Nancy CHU de Nancy, France.
- 38 Charité- Universitätsmedizin Berlin, Germany.
- 39 Gemeinschaftsklinikum Mittelrhein Kemperhof, Germany.
- 40 Klinik Hallerwiese, Germany.
- 41 Klinikum rechts der Isar, Technische Universität München, Germany.
- 42 Rotkreuzklinikum München - Frauenklinik, Germany.
- 43 University Hospital Bonn, Germany.
- 44 University Hospital Schleswig-Holstein, Campus Kiel, Germany.
- 45 University Hospital of Wuerzburg, Germany.
- 46 Vivantes Klinikum im Friedrichshain Berlin, Germany.
- 47 Aretaieio Hospital, Medical School, University of Athens, Greece.
- 48 General Hospital of Athens Alexandra, Greece.
- 49 University Hospital Attikon, Greece.
- 50 Landspítali University Hospital, Iceland.
- 51 Bnai - Zion Medical Center, Israel.
- 52 Rabin Medical Center, Israel.
- 53 Shaare Zedek Medical Center, Israel.
- 54 Azienda Ospedaliera Universitaria Pisana, Italy.
- 55 Citta della Salute e della Scienza, Turin, Italy.
- 56 Città di Roma Hospital, Italy.
- 57 Department of Medical Area, University of Udine, Italy.
- 58 Fatebenefratelli Isola Tiberina, Italy.
- 59 University Clinical Center of Kosova, Kosovo.
- 60 Lithuanian University of Health Sciences Hospital, Lithuania.
- 61 Mater Dei Hospital, Malta.
- 62 Albert Schweitzer Ziekenhuis Dordrecht, Netherlands.
- 63 Amsterdam UMC, loc AMC, Netherlands.
- 64 Catharina Hospital Eindhoven, Netherlands.
- 65 Erasmus MC, Netherlands.
- 66 Hagaziekenhuis, Netherlands.
- 67 IJsselland Ziekenhuis, Netherlands.
- 68 Maasstad Hospital, Netherlands.
- 69 Reinier De Graaf Gasthuis, Netherlands.
- 70 University Medical Centre Utrecht, Netherlands.
- 71 Akershus University Hospital, Norway.
- 72 Bærum hospital, Norway.
- 73 Haukeland University Hospital, Norway.
- 74 Innlandet Hospital Trust Elverum, Norway.
- 75 Vestfold Hospital Trust, Norway.
- 76 SPSK CMKP im. prof. W. Orłowskiego, Poland.
- 77 Centro Hospitalar de São João EPE, Portugal.
- 78 Centro Hospitalar de Setúbal, Portugal.
- 79 Centro Hospitalar do Porto, EPE, Portugal.
- 80 Centro Hospitalar do Tâmega e Sousa, EPE, Portugal.
- 81 Centro Hospitalar Universitário Lisboa Norte, Portugal.
- 82 Centro Hospitalar Tondela-Viseu, Portugal.
- 83 CHLO - Hospital de São Francisco Xavier, Portugal.
- 84 CHVNG-E, Portugal.
- 85 Hospital Beatriz Ângelo, Portugal.
- 86 Hospital Central do Funchal, Portugal.
- 87 Hospital do Espírito Santo - Évora, EPE, Portugal.
- 88 Hospital Garcia de Orta, Portugal.
- 89 ULSM Matosinhos-Hospital Pedro Hispano, Portugal.
- 90 General Hospital Sremska Mitrovica, Serbia.
- 91 KCV, Obstetric and Gynecology Hospital, Serbia.
- 92 University Clinical Center Nis, Center for Anaesthesiology, Serbia.
- 93 University Hospital of L. Pasteur, Slovakia.
- 94 Obstetric and Gynecology Hospital Kranj, Slovenia.
- 95 University Medical Centre Ljubljana, Slovenia.
- 96 Clinica Universidad de Navarra, Spain.
- 97 Complejo Hospitalario de Navarra, Spain.
- 98 Corporació Sanitària Parc Taulí, Spain.
- 99 Hospital Clinic of Barcelona, Spain.
- 100 Hospital del Mar, Spain.
- 101 Hospital General de La Palma, Spain.
- 102 Hospital General San Jorge, Spain.
- 103 Hospital Germans Trias i Pujol, Spain.
- 104 Hospital Son Llàtzer, Spain.
- 105 Hospital Universitario Álava, Spain.
- 106 Hospital Universitario Cruces, Spain.
- 107 Hospital Universitario La Paz, Spain.
- 108 Hospital Universitario Marqués de Valdecilla, Spain.
- 109 Hospital Universitario Materno-Infantil de Canarias, Spain.
- 110 Sureste University Hospital, Spain.
- 111 Vall d'Hebron Hospital, Spain.
- 112 Danderyd Hospital, Sweden.
- 113 Falu lasarett, Sweden.
- 114 Gävle Country Hospital, Sweden.
- 115 Helsingborg Hospital, Sweden.
- 116 Kristianstad Centralsjukhus, Sweden.
- 117 Karolinska University Hospital, Sweden.
- 118 Karolinska University Hospital, Huddinge, Sweden.
- 119 NU-sjukvården, Sweden.
- 120 Örebro University Hospital, Sweden.
- 121 Södersjukhuset, Sweden.
- 122 Skåne University Hospital Lund, Sweden.
- 123 University Hospital SUS Malmö, Sweden.
- 124 Centre Hospitalier Universitaire Vaudois, Switzerland.
- 125 Department of Anaesthesiology and Pain Medicine, Inselspital, University of Bern, Switzerland.
- 126 Geneva University Hospitals, Switzerland.
- 127 Kantonsspital St. Gallen, Switzerland.
- 128 Spital Thurgau Frauenfeld, Switzerland.
- 129 University hospital Basel, Switzerland.
- 130 Dokuz Eylül University, School of Medicine, Izmir, Turkey.
- 131 Gazi University School of Medicine, Ankara, Turkey.
- 132 Marmara University School of Medicine, Turkey.
- 133 Sakarya Univeristy School of Medicine, Sakarya, Turkey.
- PMID: 33039123
- DOI: 10.1016/j.bja.2020.07.061
Item in Clipboard
Observational Study
Management practices for postdural puncture headache in obstetrics: a prospective, international, cohort study
Anil Gupta et al.
Br J Anaesth.
2020 Dec.
Free article
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doi: 10.1016/j.bja.2020.07.061.
Epub 2020 Oct 8.
Authors
Collaborators
-
EPiMAP collaborators:
Isabelle Casier 9 , Bart Bryon 10 , Filiep Soetens 10 , Pierre-Yves Dewandre 11 , Geraldine Lambert 11 , Jan Christiaen 12 , Roel Schepers 12 , Patrick Van Houwe 12 , Alain Kalmar 13 , Henk Vanoverschelde 13 , Monique Bauters 14 , Eva Roofthooft 14 , Sarah Devroe 15 , Marc Van de Velde 15 , Ana Jadrijevic, Aleksandra Jokic 16 , Damjan Marin 16 , Ivan Sklebar 16 , Slobodan Mihaljević 17 , Martina Kosinova 18 , Petr Stourac 18 , Milan Adamus 19 , Christian Kufa 20 , Ivana Volfová 20 , Blažena Zaoralová 20 , Christina Froeslev-Friis 21 , Bjoern Mygil 21 , Charlotte Krebs Albrechtsen 22 , Tomi Kavasmaa 23 , Seppo Alahuhta 24 , Anne Mäyrä 25 , Susanna Mennander 25 , Kati Rautaneva 25 , Tuula Hiekkanen 26 , Vesa Kontinen 26 , Kirsti Linden 26 , Sara Toivakka 26 , Emmanuel Boselli 27 , Pierre-Édouard Greil 27 , Olivier Mascle 27 , Aurelie Courbon 28 , Jean Lutz 28 , Thérèse Simonet 29 , Marie Barbier 30 , Tarik Hlioua 30 , Fleur Meniolle d'Hauthville 30 , Christine Quintin 30 , Karim Bouattour 31 , Agnès Lecinq 31 , Mickaël Soued 31 , Marie-Pierre Bonnet 32 , Mathieu Carbonniere 32 , Catherine Fischer 32 , Paola-Carla Picard 32 , Martine Bonnin 33 , Brigitte Storme 33 , Anne-Sophie Bouthors 34 , Thomas Detente 34 , Minh Nguyen Troung 34 , Hawa Keita 35 , Sophie Nebout 35 , Lauranne Osse 35 , Anne Delmas 36 , Florence Vial 37 , Lutz Kaufner 38 , Christoph Hoefing 39 , Stefan Mueller 39 , Karin Becke 40 , Manfred Blobner 41 , Heidrun Lewald 41 , Stefan Josef Schaller 41 , Ellis Muggleton 42 , Birgit Bette 43 , Claudia Neumann 43 , Stefan Weber 43 , Matthias Grünewald 44 , Henning Ohnesorge 44 , Antonia Helf 45 , Yvonne Jelting 45 , Peter Kranke 45 , Christian von Heymann 46 , Sabine Welfle 46 , Chryssoula Staikou 47 , Antonia Stavrianopoulou 47 , Athanasia Tsaroucha 47 , Konstantina Kalopita 48 , Anastasia Loukeri 48 , Dimitrios Valsamidis 48 , Paraskevi Matsota 49 , Adalbjörn Thorsteinsson 50 , Riad Tome 51 , Leonid A Eidelman 52 , Atara Davis 52 , Sharon Orbach-Zinger 52 , Alexander Ioscovich 53 , Iacob Ramona 53 , Luigi De Simone 54 , Barbara Pesetti 54 , Luca Brazzi 55 , Alessandro Zito 55 , Michela Camorcia 56 , Giorgio Della Rocca 57 , Marco Aversano 58 , Maria Grazia Frigo 58 , Cristina Todde 58 , Qamile Morina 59 , Andrius Macas 60 , Grazina Keraitiene 60 , Kestutis Rimaitis 60 , Francis Borg 61 , Carl Tua 61 , Agnes Geertje Kuijpers-Visser 62 , Alexandra Schyns-van den Berg 62 , Markus W Hollmann 63 , Tijs Van den Berg 63 , Eric Koolen 64 , Ilse Dons 65 , Anouk van der Knijff 65 , Caroline van der Marel 65 , Nele Ruysschaert 66 , Michal Pelka 67 , Christine Pluymakers 67 , Seppe Koopman 68 , Aart-Jan Teunissen 68 , Dick Cornelisse 69 , Nick van Dasselaar 69 , Bastiaan Verdouw 69 , Ingrid Beenakkers 70 , Vegard Dahl 71 , Robert Hagen 71 , Francesco Vivaldi 72 , John Reidar Eriksen 73 , Radovan Wiszt 74 , Naz Aslam Tayyaba 75 , Else-Marie Ringvold 75 , Radosław Chutkowski 76 , Tomasz Skirecki 76 , Bartłomiej Wódarski 76 , Maria Aida Faria 77 , Amélia Ferreira 77 , Ana Catarina Sampaio 77 , Irene Ferreira 78 , Bernardo Matias 78 , Joana Teixeira 78 , Rita Araujo 79 , Herminia Cabido 79 , Rosario Fortuna 79 , Paulo Lemos 79 , Carolina Cardoso 80 , Fernando Moura 80 , Cristiana Pereira 80 , Sandra Pereira 80 , Francisca Tavares 80 , Pedro Vasconcelos 80 , Manuel Abecasis 81 , Filipa Lança 81 , Paulo Muchacho 81 , Lucindo Ormonde 81 , Isabel Guedes-Araujo 82 , Vitor Pinho-Oliveira 82 , Paulo Paredes 83 , Carla Bentes 84 , Francisco Gouveia 84 , Ana Milheiro 84 , Cláudia Castanheira 85 , Miriam Neves 85 , Vânia Pacheco 85 , Mara Cortez 86 , Raquel Tranquada 86 , Glória Tareco 87 , Inês Furtado 88 , Estela Pereira 88 , Luísa Marinho 89 , Manue Seabra 89 , Aleksandra Bulasevic 90 , Mirjana Kendrisic 90 , Lidija Jovanovic 91 , Borislava Pujić 91 , Marija Kutlesic 92 , Monika Grochova 93 , Jana Simonova 93 , Gordana Pavlovic 94 , Ales Rozman 94 , Iva Blajic 95 , Dragan Graovac 95 , Tatjana Stopar Pintraic 95 , Teresa Chiquito 96 , Pablo Monedero 96 , De Joaquin Carlos-Errea 97 , Roque Guillén-Casbas 97 , Leonor Veiga-Gil 97 , Morena Basso 98 , Carolina Garcia Bartolo 98 , Cristian Hernandez 98 , Laura Ricol 98 , Maroto Pinar De Santos 99 , Josep A Gràcia Solsona 99 , Manuel López-Baamonde 99 , Marta Magaldi Mendaña 99 , Ana María Plaza Moral 99 , Marina Vendrell 99 , Lourdes Trillo 100 , Anibal Ricardo Perez Garcia 101 , Clara Alamillo Salas 102 , Enric Moret 103 , Laura Ramió 103 , Jose Luis Aguilar Sanchez 104 , Maria Soler Pedrola 104 , Maria Inmaculada Valldeperas Hernandez 104 , Gorka Aldalur 105 , Estíbaliz Bárcena 106 , Julia Herrera 106 , Fernando Iturri 106 , Alberto Martínez 106 , Leire Martínez 106 , Rosa Serna 106 , Fernando Gilsanz 107 , Emilia Guasch Arevalo 107 , Fabrizio Iannuccelli 107 , Julieta Latorre 107 , Cristina Rodriguez Roca 107 , Osvaldo Ceferino Pérez Pardo 108 , Natalia Sierra Biddle 108 , Ceferina Suárez Cendaña 108 , Lourdes Hernández González 109 , Caridad Remacha González 109 , Raquel Sánchez Nuez 109 , Diego Anta 110 , Jose M Beleña 110 , Carmen García-Cuadrado 110 , Irene Garcia 111 , Susana Manrique 111 , Elena Suarez 111 , Anette Hein 112 , Elisabet Arbman 113 , Helena Hansson 113 , Monika Tillenius 113 , Ruaa Al-Taie 114 , Susanne Ledin-Eriksson 114 , Anja Lindén-Söndersö 115 , Ola Rosén 115 , Evija Austruma 116 , Lars Gillberg 116 , Bijan Darvish 117 , Anil Gupta 117 , Johan L Nordstöm 117 , Jan Persson 118 , Jan Rosenberg 118 , Lars Brühne 119 , Johan Forshammar 119 , Malin Ugarph Edfeldt 120 , Håkan Rolfsson 121 , Anna Hellblom 122 , Katarina Levin 122 , Sofus Rabow 122 , Karin Thorlacius 122 , Peter Bansch 123 , Moira Robertson Baeriswyl 124 , Ulrike Stamer 125 , Stanislas Mathivon 126 , Georges Savoldelli 126 , Pia Auf der Maur 127 , Miodrag Filipovic 127 , Alexander Dullenkopf 128 , Maya Brunner 129 , Thierry Girard 129 , Claudia Vonlanthen 129 , Sule Ozbilgin 130 , Berrin Gunaydin D 131 , Pelin Corman Dincer 132 , Ayca Tas Tuna 133
Affiliations
- 1 Department of Perioperative Medicine and Intensive Care and Institution of Physiology and Pharmacology, Karolinska Hospital and Karolinska Institutet, Stockholm, Sweden. Electronic address: anil.gupta@sll.se.
- 2 Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
- 3 Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
- 4 Department of Anaesthesiology, Medical Research Center Oulu, University of Oulu, Oulu University Hospital, Oulu, Finland.
- 5 Department of Anesthesiology and Intensive Care Medicine, The Womens Wellness and Research Centre, Doha, Qatar.
- 6 Department of Cardiovascular Sciences, KULeuven, Leuven, Belgium.
- 7 Département d'Anesthésie, Hôpital Antoine Béclère, AP-HP, Université Paris-Saclay, France.
- 8 Department of Anesthesiology, Albert Schweitzer Ziekenhuis, Dordrecht and Department of Anesthesiology, Leiden University Medical Centre, Leiden, The Netherlands.
- 9 AZ Groeninge, Belgium.
- 10 AZ Turnhout, Belgium.
- 11 CHR Citadelle Liège, Belgium.
- 12 GZA SA, Belgium.
- 13 Maria Middelares Hospital, Belgium.
- 14 ZNA Middelheim, Belgium.
- 15 UZ Leuven, Belgium.
- 16 Clinical Hospital Sveti Duh, Croatia.
- 17 Obstetrics and Gynecology Clinic, Croatia.
- 18 University Hospital Brno, Czech Republic.
- 19 University Hospital Olomouc, Czech Republic.
- 20 University Hospital Ostrava, Czech Republic.
- 21 OUH, Denmark.
- 22 Rigshospitalet, Denmark.
- 23 Central Finland Health Care District, Finland.
- 24 Oulu University Hospital, Finland.
- 25 Tampere University Hospital, Finland.
- 26 University of Helsinki and Helsinki University Hospital, Jorvi Hospital, Finland.
- 27 Centre hospitalier Pierre Oudot, France.
- 28 CHER Le Puy en Velay, France.
- 29 CHU Caen, France.
- 30 CHU Montpellier, France.
- 31 Hôpital Antoine Béclère, France.
- 32 Hôpital Cochin-Port Royal, France.
- 33 Hôpital Estaing, CHU Clermont-Ferrand, France.
- 34 Hôpital Jeanne de Flandre CHRU Lille, France.
- 35 Hôpital Louis Mourier, France.
- 36 Hôpital Nord, France.
- 37 Maternité Régionale de Nancy CHU de Nancy, France.
- 38 Charité- Universitätsmedizin Berlin, Germany.
- 39 Gemeinschaftsklinikum Mittelrhein Kemperhof, Germany.
- 40 Klinik Hallerwiese, Germany.
- 41 Klinikum rechts der Isar, Technische Universität München, Germany.
- 42 Rotkreuzklinikum München - Frauenklinik, Germany.
- 43 University Hospital Bonn, Germany.
- 44 University Hospital Schleswig-Holstein, Campus Kiel, Germany.
- 45 University Hospital of Wuerzburg, Germany.
- 46 Vivantes Klinikum im Friedrichshain Berlin, Germany.
- 47 Aretaieio Hospital, Medical School, University of Athens, Greece.
- 48 General Hospital of Athens Alexandra, Greece.
- 49 University Hospital Attikon, Greece.
- 50 Landspítali University Hospital, Iceland.
- 51 Bnai - Zion Medical Center, Israel.
- 52 Rabin Medical Center, Israel.
- 53 Shaare Zedek Medical Center, Israel.
- 54 Azienda Ospedaliera Universitaria Pisana, Italy.
- 55 Citta della Salute e della Scienza, Turin, Italy.
- 56 Città di Roma Hospital, Italy.
- 57 Department of Medical Area, University of Udine, Italy.
- 58 Fatebenefratelli Isola Tiberina, Italy.
- 59 University Clinical Center of Kosova, Kosovo.
- 60 Lithuanian University of Health Sciences Hospital, Lithuania.
- 61 Mater Dei Hospital, Malta.
- 62 Albert Schweitzer Ziekenhuis Dordrecht, Netherlands.
- 63 Amsterdam UMC, loc AMC, Netherlands.
- 64 Catharina Hospital Eindhoven, Netherlands.
- 65 Erasmus MC, Netherlands.
- 66 Hagaziekenhuis, Netherlands.
- 67 IJsselland Ziekenhuis, Netherlands.
- 68 Maasstad Hospital, Netherlands.
- 69 Reinier De Graaf Gasthuis, Netherlands.
- 70 University Medical Centre Utrecht, Netherlands.
- 71 Akershus University Hospital, Norway.
- 72 Bærum hospital, Norway.
- 73 Haukeland University Hospital, Norway.
- 74 Innlandet Hospital Trust Elverum, Norway.
- 75 Vestfold Hospital Trust, Norway.
- 76 SPSK CMKP im. prof. W. Orłowskiego, Poland.
- 77 Centro Hospitalar de São João EPE, Portugal.
- 78 Centro Hospitalar de Setúbal, Portugal.
- 79 Centro Hospitalar do Porto, EPE, Portugal.
- 80 Centro Hospitalar do Tâmega e Sousa, EPE, Portugal.
- 81 Centro Hospitalar Universitário Lisboa Norte, Portugal.
- 82 Centro Hospitalar Tondela-Viseu, Portugal.
- 83 CHLO - Hospital de São Francisco Xavier, Portugal.
- 84 CHVNG-E, Portugal.
- 85 Hospital Beatriz Ângelo, Portugal.
- 86 Hospital Central do Funchal, Portugal.
- 87 Hospital do Espírito Santo - Évora, EPE, Portugal.
- 88 Hospital Garcia de Orta, Portugal.
- 89 ULSM Matosinhos-Hospital Pedro Hispano, Portugal.
- 90 General Hospital Sremska Mitrovica, Serbia.
- 91 KCV, Obstetric and Gynecology Hospital, Serbia.
- 92 University Clinical Center Nis, Center for Anaesthesiology, Serbia.
- 93 University Hospital of L. Pasteur, Slovakia.
- 94 Obstetric and Gynecology Hospital Kranj, Slovenia.
- 95 University Medical Centre Ljubljana, Slovenia.
- 96 Clinica Universidad de Navarra, Spain.
- 97 Complejo Hospitalario de Navarra, Spain.
- 98 Corporació Sanitària Parc Taulí, Spain.
- 99 Hospital Clinic of Barcelona, Spain.
- 100 Hospital del Mar, Spain.
- 101 Hospital General de La Palma, Spain.
- 102 Hospital General San Jorge, Spain.
- 103 Hospital Germans Trias i Pujol, Spain.
- 104 Hospital Son Llàtzer, Spain.
- 105 Hospital Universitario Álava, Spain.
- 106 Hospital Universitario Cruces, Spain.
- 107 Hospital Universitario La Paz, Spain.
- 108 Hospital Universitario Marqués de Valdecilla, Spain.
- 109 Hospital Universitario Materno-Infantil de Canarias, Spain.
- 110 Sureste University Hospital, Spain.
- 111 Vall d'Hebron Hospital, Spain.
- 112 Danderyd Hospital, Sweden.
- 113 Falu lasarett, Sweden.
- 114 Gävle Country Hospital, Sweden.
- 115 Helsingborg Hospital, Sweden.
- 116 Kristianstad Centralsjukhus, Sweden.
- 117 Karolinska University Hospital, Sweden.
- 118 Karolinska University Hospital, Huddinge, Sweden.
- 119 NU-sjukvården, Sweden.
- 120 Örebro University Hospital, Sweden.
- 121 Södersjukhuset, Sweden.
- 122 Skåne University Hospital Lund, Sweden.
- 123 University Hospital SUS Malmö, Sweden.
- 124 Centre Hospitalier Universitaire Vaudois, Switzerland.
- 125 Department of Anaesthesiology and Pain Medicine, Inselspital, University of Bern, Switzerland.
- 126 Geneva University Hospitals, Switzerland.
- 127 Kantonsspital St. Gallen, Switzerland.
- 128 Spital Thurgau Frauenfeld, Switzerland.
- 129 University hospital Basel, Switzerland.
- 130 Dokuz Eylül University, School of Medicine, Izmir, Turkey.
- 131 Gazi University School of Medicine, Ankara, Turkey.
- 132 Marmara University School of Medicine, Turkey.
- 133 Sakarya Univeristy School of Medicine, Sakarya, Turkey.
- PMID: 33039123
- DOI: 10.1016/j.bja.2020.07.061
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Abstract
Background: Accidental dural puncture is an uncommon complication of epidural analgesia and can cause postdural puncture headache (PDPH). We aimed to describe management practices and outcomes after PDPH treated by epidural blood patch (EBP) or no EBP.
Methods: Following ethics committee approval, patients who developed PDPH after accidental dural puncture were recruited from participating countries and divided into two groups, those receiving EBP or no EBP. Data registered included patient and procedure characteristics, headache symptoms and intensity, management practices, and complications. Follow-up was at 3 months.
Results: A total of 1001 patients from 24 countries were included, of which 647 (64.6%) received an EBP and 354 (35.4%) did not receive an EBP (no-EBP). Higher initial headache intensity was associated with greater use of EBP, odds ratio 1.29 (95% confidence interval 1.19-1.41) per pain intensity unit increase. Headache intensity declined sharply at 4 h after EBP and 127 (19.3%) patients received a second EBP. On average, no or mild headache (numeric rating score≤3) was observed 7 days after diagnosis. Intracranial bleeding was diagnosed in three patients (0.46%), and backache, headache, and analgesic use were more common at 3 months in the EBP group.
Conclusions: Management practices vary between countries, but EBP was more often used in patients with greater initial headache intensity. EBP reduced headache intensity quickly, but about 20% of patients needed a second EBP. After 7 days, most patients had no or mild headache. Backache, headache, and analgesic use were more common at 3 months in patients receiving an EBP.
Keywords: accidental dural puncture; epidural analgesia; epidural blood patch; obstetrics; postdural puncture headache.
Copyright © 2020 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.
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