title: Review of the Alternatives to Epidural Blood Patch for Treatment of Postdural Puncture Headache in the Parturient.
abstract: Labor neuraxial anesthesia is commonly used in the parturient, and postdural puncture headache is the most common complication of the technique. Although epidural blood patch is the best treatment, there are some patients in whom this treatment is refused or contraindicated. The goal of this article is to review the efficacy of the most studied alternate modalities to treat postdural puncture headache. This will include a discussion of the various oral or intravenous therapies and the non-blood-containing epidural injections. Last, the evidence behind interventional pain modalities and acupuncture will be examined.
authors.affiliation: From the Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Daniel
authors.initials: D
authors.lastname: Katz
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Beilin
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000494:pharmacology / Q000627:therapeutic use; D017217:Blood Patch, Epidural / Q000379:methods*; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D007268:Injections, Epidural; D009407:Nerve Block / Q000379:methods; D036801:Parturition / Q000187:drug effects / Q000502:physiology*; D051299:Post-Dural Puncture Headache / Q000175:diagnosis / Q000628:therapy*; D011247:Pregnancy; D016896:Treatment Outcome; D014970:Xanthines / Q000494:pharmacology / Q000627:therapeutic use
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D014970:Xanthines; C008514:methylxanthine