Skip to main content Accessibility help
Hostname: page-component-59b7f5684b-j5sqr Total loading time: 1.115 Render date: 2022-09-26T11:48:51.781Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "displayNetworkTab": true, "displayNetworkMapGraph": false, "useSa": true } hasContentIssue true

Book contents

Chapter 42 - Management of Post–Dural Puncture Headache

Published online by Cambridge University Press:  08 March 2019

Tauqeer Husain
Ashford and St Peter’s NHS Foundation Trust, Surrey
Roshan Fernando
Womens Wellness and Research Centre, Hamad Medical Corporation, Qatar
Scott Segal
Wake Forest University, North Carolina
Get access


Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Obstetric Anesthesiology
An Illustrated Case-Based Approach
, pp. 234 - 238
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)


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; 10:162–67.CrossRefGoogle ScholarPubMed
Sprigge, JS, Harper, SJ. Accidental dural puncture and post dural puncture headache in obstetric anaesthesia: presentation and management: a 23-year survey in a district general hospital. Anaesthesia 2008; 63:3643.CrossRefGoogle Scholar
Choi, PT, Galinski, SE, Takeuchi, L, et al. PDPH is a common complication of neuraxial blockade in parturients: a meta-analysis of obstetrical studies. Can J Anesth 2003; 50:460–69.CrossRefGoogle ScholarPubMed
Kroin, JS, Nagalla, SK, Buvanendran, A, et al. The mechanisms of intracranial pressure modulation by epidural blood and other injectates in a postdural puncture rat model. Anesth Analg 2002; 95:423–29.Google Scholar
Van de Velde, M, Schepers, R, Berends, N, Vandermeersch, E, De Buck, F. Ten years of experience with accidental dural puncture and post-dural puncture headache in a tertiary obstetric anesthesia department. Int J Obstet Anesth 2008; 17:329–35.CrossRefGoogle Scholar
Paech, MJ, Doherty, DA, Christmas, T, Wong, CA. The volume of blood for epidural blood patch in obstetrics: a randomized, blinded clinical trial. Anesth Analg 2011; 113:126–33.CrossRefGoogle ScholarPubMed
Morley-Forster, PK, Singh, S, Angle, P, et al. The effect of epidural needle type on postdural puncture headache: a randomized trial. Can J Anesth 2006; 53:572–78.CrossRefGoogle ScholarPubMed
Russell, IF. A prospective controlled study of continuous spinal analgesia versus repeat epidural analgesia after accidental dural puncture in labour. Int J Obstet Anesth 2012; 21:716.CrossRefGoogle ScholarPubMed
van Kooten, F, Oedit, R, Bakker, SL, Dippel, DW. Epidural blood patch in post dural puncture headache: a randomised, observer-blind, controlled clinical trial. J Neurol Neurosurg Psychiatry 2008; 79:553–58.CrossRefGoogle ScholarPubMed
Webb, CA, Weyker, PD, Zhang, L, et al. Unintentional dural puncture with a Tuohy needle increases risk of chronic headache. Anesth Analg 2012; 115:124–32.CrossRefGoogle ScholarPubMed
Paech, MJ. Iatrogenic headaches: giving everyone a sore head. Int J Obstet Anesth 2012; 21:13.CrossRefGoogle ScholarPubMed
Halker, RB, Demaerschalk, BM, Wellik, KE, et al. Caffeine for the prevention and treatment of postdural puncture headache: debunking the myth. Neurologist 2007; 13:323–27.CrossRefGoogle ScholarPubMed
Boonmak, P, Boonmak, S. Epidural blood patching for preventing and treating post-dural puncture headache. Cochrane Database Syst Rev 2010; (1):CD001791.Google Scholar
Banks, S, Paech, M, Gurrin, L. An audit of epidural blood patch after accidental dural puncture with a Tuohy needle in obstetric patients. Int J Obstet Anesth 2001; 10:172–76.CrossRefGoogle ScholarPubMed
Williams, EJ, Beaulieu, P, Fawcett, WJ, Jenkins, JG. Efficacy of epidural blood patch in the obstetric population. Int J Obstet Anesth 1999; 8:105–9.CrossRefGoogle ScholarPubMed
Stein, MH, Cohen, S, Mohiuddin, MA, Dombrovskiy, V, Lowenwirt, I. Prophylactic vs therapeutic blood patch for obstetric patients with accidental dural puncture: a randomized, controlled trial. Anaesthesia 2014; 69:320–26.CrossRefGoogle Scholar
Scavone, BM, Wong, CA, Sullivan, JT, et al. Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture. Anesthesiology 2004; 101:1422–27.Google ScholarPubMed
Agerson, AN, Scavone, BM. Prophylactic epidural blood patch after unintentional dural puncture for the prevention of postdural puncture headache in parturients. Anesth Analg 2012; 115:133–36.CrossRefGoogle ScholarPubMed
Chen, LK, Huang, CH, Jean, WH, et al. Effective epidural blood patch volumes for postdural puncture headache in Taiwanese women. J Formosan Med Assoc 2007; 106:134–40.CrossRefGoogle ScholarPubMed
Martin, R, Jourdain, S, Clairoux, M, Tetrault, JP. Duration of decubitus position after epidural blood patch. Can J Anesth 1994; 41:2325.CrossRefGoogle ScholarPubMed
Heesen, M, Klohr, S, Rossaint, R, et al. Insertion of an intrathecal catheter following accidental dural puncture: a meta-analysis. Int J Obstet Anesth 2013; 22:2630.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the or variations. ‘’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats