Post Dural Puncture Headache after Cesarean Section, a Teaching Hospital Experience
-
Farhad Etezadi
,
Fardin Yousefshahi
,
Mohammadreza Khajavi
,
Fateme Tanha
,
Alireza Dahmarde
,
Atabak Najafi
Abstract
Objective: This prospective study examined the frequency of Post-Dural Puncture Headache (PDPH) in 361 parturient women undergoing spinal anesthesia for cesarean section in a teaching hospital of Tehran University of Medical Sciences.
Materials and methods: Spinal anesthesia was performed using 25 gauge Quincke needles in all women. Patients were followed up to determine incidence of PDPH and then tried to compare those with or without PDPH using statistical methods to determine risk factors of PDPH.
Results: The overall incidence of PDPH was 10.8 percent in this study. In terms of probable risk factors which were compared between the two groups of patients, no statistically significant differences were found.
Conclusion: The incidence of PDPH in our study was higher than studies which used pencil - tipped needles and we determined that the occurrence of PDPH is not associated to some factors like the previous history of nonspecific headache, Body Mass Index, age, type of local anesthetic, previous history of PDPH, experience of operator, history of habitual tea and coffee drinking.
Gogarten W, Van Aken H. A century of regional analgesia in obstetrics. Anesth Analg 2000; 91:773-5.
Brown DL. Spinal, epidural and caudal anesthesia. In: Miller RD, ed. Miller's Anesthesia. 6th edition. Philadelphia: Churchill Livingstone, 2005: 1653-79.
Denny N, Masters R, Pearson D, Read J, Sihota M, Selander D. post-Dural puncture headache after continuous spinal anesthesia. Anesth Analg 1987; 66:791-4.
Turnbull D, Shepherd DB. Post - Dural puncture headache: pathogenesis, prevention and treatment. Br j Anaesth 2003; 91: 718-729.
Gererd KW, Fagraeus L. Post – spinal headache. Semin Anesth 1990; 9:68-74.
Mihic DN. [Postspinal headaches, needle surfaces and longitudinal orientation of the dural fibers. Results of asurvey]. Reg Anaesth. 1986; 9:54-6.German.
Ready LB, Cuplin S, Haschke RH, Nessly M. Spinal needle determinants of rate of transdural fluid leak.Anesth Analg 1989; 69:457-60.
Halpern S, Preston R. Postdural puncture headache and spinal needle design. Anesthesiology 1994 ;81: 1376-83.
Reina MA, de leon – Casasola OA, Lopez A, De Andres J, Martin S, Mora M. An in vitro study of dural lesions produced by 25-gauge Quincke and Whitacre needles evaluated by scanning electron microscopy. Reg Anesth Pain Med 2000; 25: 393-402.
Reynolds F. Dural puncture and headache. Br Med J 1993; 306:874-6.
| Files | ||
| Issue | Vol 6, No 1 (March 2012) | |
| Section | Original Articles | |
| Keywords | ||
| Spinal anesthesia Headache Parturient Obstetric | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
