Post-dural puncture headache, intracranial air and obstetric anesthesia.
Recently, a controversy has arisen as to whether air or saline should be recommended for the correct localization of the epidural space with the loss of resistance technique. I report a case of a previously healthy parturient who developed pneumocephalus and severe headache following the use of the loss of resistance to air (LORA) technique to identify the epidural space. This case report raises one more time the question about the safety of the LORA technique for labor analgesia.
D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D004824:Epidural Space / Q000033:anatomy & histology; D005260:Female; D006261:Headache / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D010102:Oxygen Inhalation Therapy; D011007:Pneumocephalus / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D013129:Spinal Puncture / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D000700:Analgesics