Effect of Position During Spinal Anesthesia on Postdural Puncture Headache After Cesarean Section: A Prospective, Single-Blind Randomized Clinical Trial

Davoudi, Maryam; Tarbiat, Masoud; Ebadian, Mohammad Reza; Hajian, Pouran

doi:10.5812/aapm.35486

Cited by 20 publications

(16 citation statements)

References 11 publications

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“…We have found that the incidence of PDPH was more in hip flexion than in spinal flexion but it was not statistically significant. Not much study was done on this but as per, Davoudi et al the incidence in sitting position is high than the lateral decubitus position 5 As per meta-analysis of Zorilla et al lateral decubitus position is better. 6 We have found that the PDPH was more in younger age group than older people, but not significant statistically and the same result was found by other authors Choi PT et al, and J. Singh et al 7,8 In our study we have found that lower BMI is associated with higher PDPH which is not statistically significant, study of Ali Jabbari et al 9 has the same result but Peralta et al study did not match with our study.…”

Section: Discussionmentioning

confidence: 97%

A Prospective Comparative Study of Association Between Spinal Flexion and Post Dural Puncture Headache

Y¹,

S²,

Rao³

et al. 2017

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BACKGROUND Spinal anaesthesia for surgical procedure was started in late nineteenth century and so the post dural puncture headache. In those days incidence use to be very high but with the fine gauge needle and better technique the incidence has largely reduced. But it is still an important cause of headache in post-operative period and depends upon not only the size type of needle but also various other factor like experience of person performing, age, sex and technique used. MATERIALS AND METHODS Present study has been conducted in the department of anaesthesia Konaseema institute of medical science. It is a prospective randomized observational study conducted during May 2015 to June 2017. The study is approved by institutional ethical committee. Patient selected for this study were divided into two groups. First group belongs to spinal flexion group (Gs) having 30 patients and second group having HIP flexion group (GH) having 30 patients. Various date like Age, body weight, BMI, type of surgery, duration of surgery, number of skin puncture, number of needle passage., experience of anaesthesiologist (years), Duration of anaesthesia, Episodes of PDPH were noted. RESULTS Out of 60 patients enrolled under study group 10 developed PDPH. Four patients were in spine flexion group and 6 were in hip flexion group. In spine flexion group 1 st day one patient developed PDPH, on 2 nd day two patients developed PDPH and one patient on third day. In hip flexion group one on first day, four on second day and one on third day but both are not statistically significant. CONCLUSION We have found that incidence of PDPH was more in hip flexion than in spinal flexion but it was not statistically significant. We have found that the PDPH was more in younger age group than older people, but not significant statistically. In our study we have found that lower BMI is associated with higher PDPH which is not statistically significant.

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Section: Discussionmentioning

confidence: 97%

A Prospective Comparative Study of Association Between Spinal Flexion and Post Dural Puncture Headache

Y¹,

S²,

Rao³

et al. 2017

jebmh

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“…Spinal anesthesia is widely used for cesarean section currently for its safety, low cost, reliability, easiness to administer, immediate effect, and well-operating conditions [ [1] , [2] , [3] ]. This technique is not free from complications.…”

Section: Introductionmentioning

confidence: 99%

“…The patterns of development of PDPH depend on a procedure and non-procedure-related risk factors [ 4 , 9 ]. According to literature the incidence of PDPH after spinal anesthesia ranges from 0.3% to 40% and affected by factors like age, gender, needle size and type, multiple attempts of spinal performance, spinal anesthesia injection at sitting position, and previous PDPH [ 1 , 2 , 5 , 7 , 10 , 11 ]. On top of these factors, having high levels of estrogens which may influence the tone of the cerebral vessels, thus increasing the vascular distension response to CSF hypotension put pregnant mothers at increased risk for PDPH [ 5 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of post dural puncture headache among parturients who underwent cesarean section with spinal anesthesia: A systemic review and meta-analysis, 2021

Chekol

Yetneberk

Teshome

2021

Annals of Medicine &Amp; Surgery

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Introduction PDPH is a headache that develops after dural puncture which worsens in an upright position, and improves with lying down. It could affect maternal satisfaction and health care quality. The prevalence and factors of PDPH vary based on different literature and there is no previous meta-analysis done. Methods This study was done by searching studies from databases PubMed/MEDLINE, Google scholar, and google. Data were extracted by three reviewers independently by using Microsoft Excel and then exported to STATA™ 16 version statistical software for analysis. Heterogeneity assessed using the I 2 statistic. With a random model meta-analysis, the pooled prevalence of post-dural puncture headache and its associated factors (POR) with a 95% confidence interval was estimated. Result Eight studies with a total of 175, 652 study participants were included to estimate the pooled prevalence of PDPH following cesarean section under spinal anesthesia. The pooled prevalence of PDPH in this meta-analysis was found to be 23.47% with 95% CI (10.53, 36.42). Having normal BMI, multiple attempts of spinal injection and spinal injection with a needle size of less than or equal to 22 gauge were positively associated with the PDPH with AOR and 95% CI of 1.22 (1.09, 1.35), 3.50 (1.55, 5.44) and 7.36 (4.93, 9.80) respectively. Conclusion The pooled prevalence of PDPH among parturients who gave birth with the cesarean section under spinal anesthesia is estimated to be 23.47%. Having normal BMI, multiple attempts of spinal injection, and spinal injection with a needle size of less than or equal to 22 gauge were positively associated with the PDPH.

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“…Spinal anesthesia is mostly used during C- section [ 1 ]. Because this anesthesia is easier to perform and local anesthetics are less dangerous than epidural anesthesia in terms of risk of preeclampsia and is effective in controlling pain and reducing postoperative nausea and vomiting [ 2 ]. Spinal anesthesia is one of the local anesthesia methods, which is associated with complications such as neurological complications (paraplegia, cauda equina syndrome), PDPH, and cardiovascular complications (hypotension, bradycardia, and cardiac arrest) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of pregabalin on postdural puncture headache among patients undergoing elective cesarean section: A randomized controlled trial

Karami

Hoshyar

Jafari

2021

Annals of Medicine &Amp; Surgery

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Introduction Post-dural puncture headache (PDPH) is one of the most common problems of cesarean section. The present study aimed to evaluate the effect of pregabalin on PDPH among patients undergoing elective cesarean section. Materials and methods This double-blind clinical trial was performed on 136 patients undergoing elective cesarean section referred to Shahid Motahari Teaching Hospital in Urmia in northwestern Iran from February 1 to December 20, 2020. Patients were selected by convenience sampling method and randomly divided into two groups of intervention and control (N = 68 people each group). The presence of PDPH and its severity were recorded in the checklist based on the VAS, and conventional treatments were prescribed in the case of occurrence of the PDPH. The PDPH severity was also assessed by the patient using the 10-cm Visual Analog Scale (VAS). Results The mean age of participants was 27.82 years. A total of 29 people suffered from hypotension. Regarding pain severity, the mean pain score in the intervention group was significantly lower than the control group (p = 0.01). Results also showed that the frequency of PDPH in the intervention group was significantly lower than the placebo group (4.4% vs. 11.8%; p = 0.019). There was no significant difference between intervention and control groups in terms of demographic characteristics (p > 0.05). Conclusion Results of the present study showed the use of oral pregabalin at night before spinal anesthesia in patients undergoing elective cesarean(C-) section had a preventive effect on the severity and incidence of PDPH.

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Effect of Position During Spinal Anesthesia on Postdural Puncture Headache After Cesarean Section: A Prospective, Single-Blind Randomized Clinical Trial

Cited by 20 publications

References 11 publications

A Prospective Comparative Study of Association Between Spinal Flexion and Post Dural Puncture Headache

A Prospective Comparative Study of Association Between Spinal Flexion and Post Dural Puncture Headache

Prevalence and associated factors of post dural puncture headache among parturients who underwent cesarean section with spinal anesthesia: A systemic review and meta-analysis, 2021

The effect of pregabalin on postdural puncture headache among patients undergoing elective cesarean section: A randomized controlled trial

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