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Management of Later Complications of Obstetric Anesthesia and Analgesia 

Management of Later Complications of Obstetric Anesthesia and Analgesia
Chapter:
Management of Later Complications of Obstetric Anesthesia and Analgesia
Author(s):

Michael J. Paech

DOI:
10.1093/med/9780199733804.003.0220
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date: 20 February 2020

Post-Dural Puncture Headache 361

Back Pain 368

Infection 369

Vertebral and Intracranial Hematoma and Vascular Events 374

Neurological Deficit 377

Thrombosis and Pulmonary Embolism 382

Medicolegal Considerations 385

Post-dural puncture headache (PDPH) (also termed post-spinal headache) is the most common major complication of neuraxial block in the obstetric population. It leads to substantial health care costs, mainly as a result of delayed hospital discharge. The incidence after spinal techniques, which are widely used for elective cesarean delivery and in many units also for labor analgesia, is largely determined by the selection of spinal needle. Meta-analysis shows that the incidence falls with the use of: ...

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