Dexmedetomidine nebulization: an answer to post-dural puncture headache?

Headache following spinal anaesthesia is very occasionally excruciating in nature and often difficult to treat. Various treatment options include well-maintained hydration, maintaining the supine posture, caffeine, other poorly evidenced pharmacological therapies and epidural blood patch. We report the apparently successful use of a novel method, namely the nebulization of dexmedetomidine in five patients suffering from post-dural puncture headache (PDPH).