Jove
Visualize
Contact Us

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Increased Intracranial Pressure ll: Pathophysiology01:29

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Familial Hypercholesterolemia: Screening, Diagnosis, and Treatment.

American family physician·2024
Same author

Civilian and Military Medical School Graduates' Readiness for Deployment: Areas of Strength and Opportunities for Growth.

Military medicine·2024
Same author

Novel Pharmacotherapies for Hyperlipidemia.

Primary care·2024
Same author

A Comparison of Uniformed Services University and Health Professions Scholarship Program Graduates' First Deployment Readiness.

Military medicine·2023
Same author

Reflecting on LTCOS Scholarship and Implications for Educational Practice.

Military medicine·2023
Same author

A Comparison of HPSP and USU Graduates' Preparation for Residency.

Military medicine·2023
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Jun 25, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

Post-epidural headache: how late can it occur?

Brian V Reamy1

  • 1United States Air Force and the Department of Family Medicine, Uniformed Services University, Bethesda, MD, USA.

Journal of the American Board of Family Medicine : JABFM
|March 7, 2009
PubMed
Summary

A rare case of post-dural puncture headache (PDPH) occurred 12 days postpartum, outside the typical 1-7 day onset. This delayed PDPH highlights the need for individualized patient care beyond pooled analysis limitations.

Area of Science:

  • Anesthesiology
  • Neurology
  • Obstetrics

Background:

  • Post-dural puncture headache (PDPH) is a known complication of labor epidural anesthesia.
  • Previous meta-analyses indicate PDPH onset typically occurs 1-7 days postpartum.
  • Accidental dural puncture during epidural placement carries a 1.5% risk for parturients.

Observation:

  • A patient presented with a severe postural headache 12 days after an uncomplicated labor epidural.
  • Initial differential diagnoses included subarachnoid hemorrhage, with normal lumbar puncture and CT angiogram.
  • Despite conservative management, the headache persisted, leading to referral for an epidural blood patch.

Findings:

  • Consultants initially dismissed PDPH due to the delayed onset beyond 7 days.

Related Experiment Videos

Last Updated: Jun 25, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

  • An epidural blood patch was ultimately performed, resulting in immediate headache resolution.
  • This case represents the first reported instance of PDPH presenting 12 days postpartum.
  • Implications:

    • The findings challenge the rigid application of established timelines for PDPH onset.
    • Delayed diagnosis and treatment of PDPH can occur if strict adherence to pooled data is maintained.
    • Individual patient presentation and clinical judgment are crucial for managing atypical PDPH cases.