Re: Subject: Section on demand

From: Joanne Bulley, MD (islesannie@yahoo.com)
Fri Apr 28 11:59:18 2006


El,

As Ron says - it is the type of needle used. In your area they must still be using the sharp needles that cut through the dura rather than the Whitacre / blunt tip that spreads the fibers of the dural sheath. With this type of needle we rarely see a spinal HA. The patient can be up as soon as it wears off. Or for the patient who has had the intrathecal narcotics for labor pain - she is able to be up and walking immediately with excellent pain relief but without the motor weakness of an epidrual.

Joanne

At Fri, 28 Apr 2006, Dr Eberhard Lisse wrote: >
>So far the only ones that had a headache were the ones to listen to the
>anesthetists and stay 12 hours in bed. And they all tell me that this is
>not something they would wish onto their worst enemy...
>
>And the one anesthetist I know who had a spinal herself, recommends 24
>hours :-)-O
>
>el
>
>on 4/28/06 3:19 PM Meenan, Anna said the following:
>> No, but what has that got to do with knowing how (or how not) to prevent
>> one? No one has answered Richard's original question of why 24 hrs of
>> bedrest after a spinal.
>>
>> Anna Meenan, MD
>>
>>> Have you ever *HAD* one?

--
Joanne Bulley, MD
Keene, NH, USA

"Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974).





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