渥太华大学麻醉科 住院医师每周一问

心超

Question of the week OB/ fever

A 22-year old woman is scheduled for a cesarean section for premature rupture of the membranes. Blood pressure is 110/60 mm Hg, pulse is 110, and temperature is 38.5 degrees centigrade. She requests regional anesthesia.
1. What is your response?
2. You do a subarachnoid block, and two days later she had a severe headache and continues to have a low-grade fever. How would you evaluate her now?
3. How do you manage post-spinal headache?