Sekar’s DISH10 (Deep Inspiration, Squeeze & Hold for 10 Seconds) Maneuver- A Noninvasive Treatment for Postdural Puncture Headache | Chapter 08 | Issues and Developments in Medicine and Medical Research Vol. 3

 Following neuraxial anaesthesia, therapeutic or diagnostic meningeal puncture, postdural puncture headache (PDPH), also known as post-spinal or meningeal puncture headaches, is a well-known iatrogenic consequence. With advancements in anaesthetic procedures, improved awareness of pathophysiology, a better understanding of risk factors, and the deployment of preventative measures, its prevalence has significantly decreased. Many aspects of its management, on the other hand, need to be investigated further in order to address, control, and avoid such an uncommon but dreaded problem. An epidural blood patch (EBP) is considered the gold standard in the treatment of PDPH among different pharmaceutical and non-pharmacological therapeutic approaches. Given the challenges of invasive procedures like EBP, as well as their possible side effect profile, it's time to explore for more efficient, cost-effective, and noninvasive alternatives. One such noninvasive treatment is the Sekar's DISH10 (Deep Inspiration, Squeeze, and Hold for 10 seconds) procedure, which was recently reported and claimed to provide faster symptomatic relief than other current techniques by speeding up spontaneous recovery.

 

The pathophysiology of PDPH is discussed in this chapter, as well as the major phases of the DISH10 technique and their varied biomechanics. Because of its ease of execution, cost efficiency, and non-invasiveness, we predict the DISH10 technique to gain popularity and general acceptance in the future.

Author(S) Details

Kartik Sonawane
Department of Anesthesiology, Ganga Medical Centre & Hospitals, Pvt. Ltd., Coimbatore, Tamil Nadu, India.

Chelliah Sekar
Department of Anesthesiology, Ganga Medical Centre & Hospitals, Pvt. Ltd., Coimbatore, Tamil Nadu, India.

Hrudini Dixit
Department of Anesthesiology, Ganga Medical Centre & Hospitals, Pvt. Ltd., Coimbatore, Tamil Nadu, India.

Tuhin Mistry
Department of Anesthesiology, Ganga Medical Centre & Hospitals, Pvt. Ltd., Coimbatore, Tamil Nadu, India.

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