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

Yıl 2018, Cilt: 51 Sayı: 1, 63 - 69, 30.03.2018

Gülçin Babaoğlu Suna Akın Takmaz Hülya Başar Bülent Baltacı

Öz

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.

Anahtar Kelimeler

postdural ponksiyon baş ağrısı tedavisi, epidural kan yaması

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

Öz

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.

Anahtar Kelimeler

Postdural puncture headache treatment, epidural blood patc

Kaynakça

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