Inguinal hernia repairs performed under local anaesthesia and sedation is a method of less impact on the organ function and systems, and is safe, simple, effective, economical, easy to perform, with lower incidence of side effects, such as cardiovascular instability, nausea, vomiting, urinary retention, spinal headache
and early return to work and resulting in a shorter hospital stay.
There are a number of case reports and case series claiming effectiveness of SPG block for the management of spinal headache
in obstetric patients7,8.
Interventional treatments conducted within the spinal canal such as ESI have a number of serious side effects, including hypotension, spinal cord injury, spinal nerve injury, spinal cord infarction, paralysis, epidural hematoma, epidural abscess by infection, and Cerebrospinal Fluid (CSF) leakage and spinal headache
by dural puncture.
Post spinal headache
: its incidence following the median and paramedian techniques.
"I had a spinal headache
after having a spinal anaesthetic and had to go back for a blood patch.
I had to lie absolutely flat and had a raging "spinal headache
." By the next morning, however, I felt much better.
Fifteen women (16%) had a final diagnosis of spinal headache
. All of them received an anesthesiology consultation and initially were treated with analgesics.
For example, think of supporting a woman who has chosen to have an epidural and then has a serious side effect, such as hypotension, fetal distress, or spinal headache
. I worked with a woman who had some nerve damage caused by the administration of the epidural and limped for six months after the birth.
Present study had only one case of post spinal headache
, that is 0.4% only.
Treatment of post spinal headache
. Anesthesiology 1960; 21: 565.
ITN NO ITN SIDE EFFECT (N=100) (N=100) P Pruritus, % 10 0 .001 Nausea or vomiting, % 17 15 .68 Urinary catherization, % 25 5 .000 Maternal hypotension, % 6 6 .99 Spinal headache
Narrow gauge bullet-tip or pencil-point anesthesia needles (24 to 27 gauge) reduce the incidence of spinal headache
after a dural puncture.