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British Journal of Anaesthesia 2005 94(4):542-543; doi:10.1093/bja/aei523
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org


CORRESPONDENCE

Postpartum post-dural puncture headache

E-mail: dmlevy@nhs.net

The first 10% of the full text of this article appears below.

Editor—I was interested to read the report of a parturient who appears to have sustained an intracerebral haemorrhage (ICH) shortly after an epidural blood patch.1 The authors reviewed cerebrovascular pathology in the puerperium and the contribution of obstetric regional analgesia. I was intrigued, however, by the (unreferenced) assertion that ‘a continuous infusion of oxytocin can cause hypertension that might result in bleeding from aneurysms or weak areas in cerebral vessels’. I have searched to no avail for the basis of this statement. In contrast to ergometrine, which can indeed cause dangerous hypertension secondary to vasoconstriction, there is no restriction to the use of oxytocin, either for augmentation of labour or prevention of atonic postpartum haemorrhage, in women with hypertensive . . . [Full Text of this Article]

D. M. Levy

Nottingham, UK

* E-mail: chandru104@yahoo.co.uk

B. Chandrasekar* and S. A. Harding

Lancaster, UK

* E-mail: doczeidan@hotmail.com

A. Zeiden* and N. Nahleh

Beirut, Lebanon

* E-mail: c.bleeker@anes.umcn.nl

C. P. Bleeker*, I. M. Hendriks and L. Booij

Nijmegen, The Netherlands


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