Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review
Apfel C, Saxena A, Cakmakkaya O, Gaiser R, George E, Radke O. Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. British Journal Of Anaesthesia 2010, 105: 255-263. PMID: 20682567, DOI: 10.1093/bja/aeq191.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidAnesthesia, EpiduralBlood Patch, EpiduralCatheterization, PeripheralDura MaterHumansMorphinePost-Dural Puncture HeadacheSodium ChlorideConceptsProphylactic epidural blood patchPostdural puncture headacheAccidental dural punctureRelative riskQuantitative systematic reviewEpidural morphineIntrathecal catheterPuncture headacheDural punctureSystematic reviewAvailable evidenceLarge multicentre RCTEpidural blood patchIntrathecal salineBlood patchMulticentre RCTSevere headacheHeadachePublication biasStatistical significanceClear consensusMorphineCatheterPreventative practicesPositive results