Anesthetic Management for Patient with a History of Post-Dural Puncture Headache: A Case Report

Abstract

- A 32-year-old woman underwent her third cesarean section one week earlier. Following an initial assessment, the patient revealed a history of PDPH following the previous cesarean surgery under spinal anesthesia. Most obstetric procedures were performed under spinal anesthesia. However, due to the history of PDPH and the potential risk of aspiration in pregnant women, the anesthetic plan was changed to general anesthesia with rapid sequence induction. The patient underwent a one-hour emergency cesarean section under general anesthesia with uncomplicated tracheal intubation. The anesthesiologist decided to convert the anesthetic plan after carefully examining the severity and history of post-spinal headaches. Awareness of the history of complications associated with the anesthetic strategy helped to prevent unnecessary distress and problems for the patient and the clinicians.