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Crysis 3 Blackbox Crack Fix 2 13. Crysis 3 Updated Datapad Bin Files For Crysis 3 NoDVD No CD Crack.. This page was last edited on 26th January, 2015, at 9:15 am.[Post-lumbar puncture headache].
INTRODUCTION AND DEFINITION The most frequent complication of spinal anaesthesia is the headache. The second most frequent complication is paresis of the inferior limb. Indeed, spinal anaesthesia, which is also referred to as “spinal headache”, “cervicogenic headache”, “post-dural puncture headache”, “local anaesthesia”, is a severe type of headache which develops in between 24 and 72 hours after the haemorrhage. HEADACHE DURING SPINAL ANAESTHESIA The headache is of sudden onset, lasting a few hours, and is usually unilateral, generally occipital or temporal. Its severity is variable. About 10-15% of patients develop a severe headache. The mechanisms of the headache are poorly understood. Although there are many theories, in particular the sympathetic theory, the sympathovagal theory or the neurotropic theory. INDICATIONS FOR SUBARACHNOID HEMISYMPATHIZATION The headache is usually the only sign of intracranial complications. The presence of neurological deficits is a contraindication for its management. The management of post-dural puncture headache includes; 1-routine consultation and treatment of the underlying disease; 2-first-aid with painkillers and cervical nerve blocks and 3-treatment of the headache. PROPHYLAXIS OF THE HEADACHE The prophylaxis is based on the adoption of a lumbar puncture with a needle of smaller diameter than usual. RATIONALE OF THE USE OF A SMALLER NEEDLE The smaller the diameter, the higher the concentration of the anaesthetic medium and the greater the volume of the epidural blood absorbed. Post-dural puncture headache is therefore less frequent with a smaller needle. EXTRACRANIAL INJECTION OF ANESTHETIC The injections are generally performed by anesthesiologists outside the operating theatre. HEMODYNAM
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