<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-8046</journal-id>
<journal-title><![CDATA[Revista de la Sociedad Española del Dolor]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Soc. Esp. Dolor]]></abbrev-journal-title>
<issn>1134-8046</issn>
<publisher>
<publisher-name><![CDATA[Inspira Network Group, S.L ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-80462020000200011</article-id>
<article-id pub-id-type="doi">10.20986/resed.2020.3782/2019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia clínica con la implantación de un protocolo multidisciplinar de cefalea postpunción dural]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical experience with the implementation of a postdural puncture headache multidisciplinary protocol]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perdomo Perdomo]]></surname>
<given-names><![CDATA[M B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo González]]></surname>
<given-names><![CDATA[E M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Chimeno]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa Domínguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Nuestra Señora de Candelaria Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[Santa Cruz de Tenerife ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>27</volume>
<numero>2</numero>
<fpage>133</fpage>
<lpage>137</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-80462020000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-80462020000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-80462020000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La cefalea postpunción dural (CPPD) es una complicación de la punción lumbar, práctica utilizada por múltiples especialistas con diferentes fines, y de la punción dural accidental (PDA) en una técnica epidural. El objetivo de disponer de un protocolo de manejo de la CPPD, con implicación multidisciplinar, es diagnosticar y tratar precozmente a cualquier paciente con CPPD, independientemente de qué especialidad observe la complicación.  Material y métodos: Estudio descriptivo, observacional y retrospectivo en el que se analiza la utilidad clínica de un protocolo de manejo de CPPD entre septiembre de 2014 y diciembre de 2017.  Resultados: Se analizaron un total de 60 interconsultas. Se observó una incidencia de PDA del 0,61 %, el 80 % de las PDA desarrollaron CPPD, y de ellas, el 72 % precisó un parche hemático. Con el seguimiento telefónico, 8 pacientes que inicialmente fueron dados de alta con CPPD leve precisaron reingreso por empeoramiento clínico, y se diagnosticó un paciente con parálisis del VI par craneal. Los especialistas que incluyeron pacientes en el protocolo fueron: anestesiólogos, obstetras, médicos de urgencias y neurólogos.  Conclusiones: El protocolo permitió un diagnóstico y tratamiento precoz de la CPPD, además de un seguimiento tras el alta hospitalaria del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Postdural puncture headache (PDPH) is a lumbar puncture complication, this practice is used by several medical specialists for different purposes as well as the accidental dural puncture (ADP) in an epidural technique. The objective of a PDPH multidisciplinary management protocol, is to diagnose and early treat any patient with PDPH, no matter which speciality observes this complication.  Material and methods: A descriptive, observational and retrospective study in which the clinical helpfulness of a PDPH management protocol is analyzed between September 2014 and December 2017.  Results: A total of 60 consult visits were analyzed. An incidence of ADP of 0.61 % was observed, 80 % of them developed PDPH, and out of these, 72 % required an epidural blood patching. Re-entry due to clinical worsening was required by 8 patients on telephone follow-up, who were initially discharged with mild PDPH, and one of them was diagnosed with abducens nerve palsy. Medical specialities with patients in this protocol were: anesthesiologists, obstetricians, emergency physicians and neurologists.  Conclusions: The protocol allowed a diagnosis and early treatment of the PDPH as well as supplied the patient's follow-up after his hospital discharge.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cefalea pospunción dural]]></kwd>
<kwd lng="es"><![CDATA[parche hemático epidural]]></kwd>
<kwd lng="es"><![CDATA[protocolo]]></kwd>
<kwd lng="es"><![CDATA[punción dural accidental]]></kwd>
<kwd lng="es"><![CDATA[punción lumbar]]></kwd>
<kwd lng="en"><![CDATA[Postdural puncture headache]]></kwd>
<kwd lng="en"><![CDATA[epidural blood patch]]></kwd>
<kwd lng="en"><![CDATA[protocol]]></kwd>
<kwd lng="en"><![CDATA[accidental dural puncture]]></kwd>
<kwd lng="en"><![CDATA[lumbar puncture]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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