Postpartum Hastalarda Postdural Ponksiyon Baş Ağrısı Yönetiminde Epidural Kan yamasına Alternatif Tedaviler

Abstract

Doğumda nöroaksiyel anestezi uygulamalarının artmasıyla birlikte en sık görülen komplikasyon olan postdural ponksiyon baş ağrısı sıklığı da artmaktadır. Epidural kan yaması altın standart tedavi olarak kabul edilse de epidural kan yamasını reddeden, kontrendike olan ya da tedavinin başarısız olduğu hastalar mevcuttur. Ayrıca minimal invaziv bir yöntem olmasına rağmen uygulama sonrası sırt ağrısından kalıcı nörolojik sekel gibi geniş spektrumda  komplikasyonlarla karşılaşılabilir. Bu makalede postdural ponksiyon baş ağrısı tedavisinde epidural kan yamasına alternatif tedavi seçenekleri ve etkinlikleri tartışılmıştır.

Keywords

• postdural ponksiyon baş ağrısı tedavisi,epidural kan yaması

Alternative Treatments for Epidural Blood Patch in Postpartum Patients with Postdural Puncture Headache

Abstract

With the increase of labor neuroaxial anesthesia, the frequency of postdural puncture headache is also increasing, which is the most common complication. Although the epidural blood patch is accepted as the gold standard treatment, there are some situations epidural blood patch can not be applied like patient refusal, treatment fail or contraindications. It is a minimal invasive method, but post-operative complications may be seen in  broad spectrum like back pain  and permanent neurological sequela. In this article, alternative treatment options for epidural blood patch in postdural puncture headacce are discussed.

Keywords

• Postdural puncture headache treatment,epidural blood patc

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