The Impact of Spinal Needle Selection on Postdural Puncture Headache: A Meta-Analysis and Metaregression of Randomized Studies

@article{ZorrillaVaca2017TheIO,
  title={The Impact of Spinal Needle Selection on Postdural Puncture Headache: A Meta-Analysis and Metaregression of Randomized Studies},
  author={Andr{\'e}s Zorrilla-Vaca and Vineesh Mathur and Christopher L. Wu and Michael C. Grant},
  journal={Regional Anesthesia \& Pain Medicine},
  year={2017},
  volume={43},
  pages={502 - 508}
}
Background and Objectives Potentially broadened indications for spinal anesthesia require increased understanding of the risk factors and prevention measures associated with postdural puncture headache (PDPH). This review is designed to examine the association between spinal needle characteristics and incidence of PDPH. Methods Meta-analysis and metaregression was performed on randomized controlled trials to determine the effect of needle design and gauge on the incidence of PDPH after… 
[Postdural puncture headache after neuraxial anesthesia: incidence and risk factors].
TLDR
The incidence of PDPH was different in the two groups with a higher incidence in the ORT but considerably lower than in the literature, Considering the functional imitations (mobilization, neonatal care) and a longer hospital stay, future studies should investigate the impact of an early treatment of P DPH.
Comparison of the effects of sagittal versus transvers 25-gauge quincke needle insertion on post-dural puncture headache development
TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
There was a significantly lower frequency of post dural puncture headache in the paramedian approach for spinal anesthesia in patients undergoing elective infra-umbilical surgery.
ED90 of spinal 2-chloroprocaine 1% in ambulatory knee arthroscopy up to 45 min: a randomized biased-coin- up-and-down sequential allocation trial
TLDR
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TLDR
Switching from 20 to 22 gauge needles for routine diagnostic LPs significantly decreased the incidence of PLPH requiring epidural blood patch, and Narrower gauge or non-cutting needles should be considered in patients with risk factors for PLPH, allowing for CSF requirements.
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TLDR
In case of mild PDPH, conservative management involving bed rest and pharmacological management should be used as first-line treatment, and nerve blocks are highly efficient alternatives for patients who do not respond well to conservative treatment.
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TLDR
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TLDR
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TLDR
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