title: Reducing the incidence of post-dural puncture headache.
abstract: First reported in 1898, post-dural puncture headache (PDPH) remains a significant clinical issue. Here, we present a brief case history and a summary of the current evidence for methods to reduce PDPH rates, along with the experience in our department of implementing these methods in clinical practice. The key points to note are that needle design, gauge and orientation, as well as stylet reinsertion, are factors known to affect the incidence of PDPH, and that there is no evidence to support the use of hydration and bed rest to reduce headache following dural puncture.
authors.affiliation: Emergency Assessement Unit, Colchester University Hospital Foundation Trust, Colchester, UK. sara.waise@gmail.com
authors.forename: Sara
authors.initials: S
authors.lastname: Waise
authors.forename: David
authors.initials: D
authors.lastname: Gannon
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D015994:Incidence; D009339:Needles / Q000592:standards*; D051299:Post-Dural Puncture Headache / Q000453:epidemiology / Q000628:therapy*; D013129:Spinal Puncture / Q000295:instrumentation*