My name is Dr Caroline Ariaens and I am a Specialist Anaesthetist working at Waikato Hospital in Hamilton, New Zealand. I am also a Mum of three children - Charlotte, Jack and Emily.
I am passionate about providing high quality and evidence based information for healthcare users and clinicians.
I first created a website about breastfeeding and anaesthesia during my obstetric anaesthetic fellowship at Auckland City Hospital. You can find that website here.
I hope this new website will help people who are experiencing a headache after a spinal anaesthetic or an epidural as well as their whānau and the clinicians caring for them.
Please email me if you have any questions, comments, or other feedback: firstname.lastname@example.org
For more information about anaesthesia for pregnant people, please see here.
Ansari J et al. Chronic disabling postpartum headache after unintentional dural puncture during epidural anaesthesia: a prospective cohort study. British Journal of Anasthesia 2021; 4:600-7
Basurto O, Osorio D, Bonfill C. Drug therapy for treating post-dural puncture headache (Review). Cochrane Database of Systematic Reviews 2015; Issue 7.
Bateman B et al. Post dural puncture headache. UpToDate 2021
Boonmak P, Boonmak S. Epidural blood patching for preventing and treating post-dural puncture headache (Review). Cochrane Database of Systematic Reviews 2010; Issue 1.
Janvier A, Russel R. Postpartum headache – diagnosis and treatment. BJA Education 2022; 22(5): 176-81
Maranhao et al. The association between post-dural puncture headache and needle type during spinal anaesthesia: a systematic review and network meta-analysis. Anaesthesia 2021; 76: 1098-1110
Mims S et al. Long-term morbidities following unintentional dural puncture in obstetric patients: a systematic review and meta-analysis. Journal of Clinical Anesthesia 2022; 79
Olsen K, Screws A, Vose S. Blood patch in a Jehovah’s Witness: case report of a novel arterial-to-epidural closed-circuit technique. A&A Practice 2018; 10(8): 201-3
Schug S et al. APM:SE Working Group of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine (2020), Acute Pain Management: Scientific Evidence (5th edition), ANZCA & FPM, Melbourne
Sidhu N et al. The association between labour epidural case volume and the rate of accidental dural puncture. Anaesthesia 2021; 76: 1060-7
Silva L et al. Epidural blood patch in Jehovah’s Witness: two cases report. Revista Brasileira De Anaestesiologia 2003; 53(5): 633-9
Vallejo M et al. Postdural puncture headache: a randomised comparison of five spinal needles in obstetric practice. Anesthesia & Analgesia 2000; 91:916-20
Vallejo M, Zakowski M. Post-dural puncture headache diagnosis and management. Best Practice & Research Clinical Anaesthesiology 2022; 36:179-89
Van Zyl T, Klar G. An update on effective management of the postdural puncture headache. Anaesthetic Tutorial of the Week 2021
Youssef H et al. Sphenopalatine ganglion versus greater occipital nerve blocks in treating post-dural puncture headache after spinal anesthesia for caesarean section: a randomised clinical trial. Pain Physician Journal 2021; 24: E443-451