Title
Postdural Puncture Headache
Authoring Organizations
Publication Month/Year
August 15, 2023
Last Updated Month/Year
September 5, 2023
Document Type
Guideline
Country of Publication
Global
Document Objectives
Postdural puncture headache (PDPH) can follow unintentional dural puncture during epidural techniques or intentional dural puncture during neuraxial procedures such as a lumbar puncture or spinal anesthesia. Evidence-based guidance on the prevention, diagnosis or management of this condition is, however, currently lacking. This multisociety guidance aims to fill this void and provide practitioners with comprehensive information and patient-centric recommendations to prevent, diagnose and manage patients with PDPH. These clinical practice guidelines for PDPH provide a framework to improve identification, evaluation and delivery of evidence-based care by physicians performing neuraxial procedures to improve the quality of care and align with patients’ interests. Uncertainty remains regarding best practice for the majority of management approaches for PDPH due to the paucity of evidence. Additionally, opportunities for future research are identified.
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Treatment, Management
Diseases/Conditions (MeSH)
D006261 - Headache, D020773 - Headache Disorders, D051299 - Post-Dural Puncture Headache
Keywords
headache, Postdural Puncture Headache, post-dural headache, PDPH
Source Citation
Uppal V, Russell R, Sondekoppam RV, et alEvidence-based clinical practice guidelines on postdural puncture headache: a consensus report from a multisociety international working groupRegional Anesthesia & Pain Medicine Published Online First: 15 August 2023. doi: 10.1136/rapm-2023-104817