Study of incidence of postdural puncture headache (pdph) in pregnant women with different body mass index undergoing caesarean section under spinal anaesthesia

Birajdar, Sanjeev; Allolli, Deepa; Javed, Mujahed

doi:10.5958/2394-4994.2016.00074.3

Cited by 4 publications

(3 citation statements)

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“…In this study, patients with BMI of greater than 24.9 were 8.738 more likely to develop PDPH than patients with BMI of less than 18.5 which is consistent with the Study conducted in University of California, San Diego, USA 13 , Indicates; BMI more than or equal to 25 kg/m 2 (obese) were more likely to experience PDPH than those non Obese patients (<25 kg/m 2 ). Some studies were also support this finding 36 , 37 .…”

Section: Discussionmentioning

confidence: 67%

Incidence and associated factors of post-dural puncture headache among orthopaedic patients after spinal anesthesia: a prospective cohort study

Oumer,

Aychew,

Daniel

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Post-dural puncture headache (PDPH) is one of a complication of spinal anesthesia, influenced mostly by various factors including the patient’s age, spinal needle size and design and, gender. This headache can be severe and debilitating, preventing ambulation and limiting daily living activities. Objective: This study assessed the incidence and associated factors of PDPH among patients who received spinal anesthesia for orthopedic procedures at the Xx Comprehensive Specialized Hospital from June to August 2022 Methods: Prospective cohort study design was employed using Consecutive sampling method among patients who received spinal anesthesia for orthopedics procedure at Xx Comprehensive Specialized Hospital from June to August 2022. Data was collected by Face to Face interview and direct observation based on questionnaire. The data was entered to epidata 4.6 & analyzed by SPSS version 20 software. A total 95 patients aged 16-75 was participated in study. Those independent variable that were significant on binary logistic regression at P<0.2, were analyzed on multivariate regression, and considered significant association with PDPH at P value<0.05. Result: 95 study participants were included in our study of which 19(20%) had developed post-dural puncture headache. Among patients who develop PDPH; 9.5% of the patients reported moderate pain while 10.5% experience mild PDPH and 80% of patient has no pain. The BMI and age were found to have significant association with PDPH [(P value 0.018, AOR 8.738, 95%CI, 1.461-52.269) and (P value 0.011, AOR 12.146, 95%CI, 1.753-84.170)] respectively) to PDPH. Conclusion and Recommendation: The incidence of Post-Dural Puncture Headache was found to be higher in Xx Comprehensive Specialized Hospital. The hospital management and the anesthetists should minimize the magnitude of by strictly following different preventive strategies.

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Section: Discussionmentioning

confidence: 67%

Incidence and associated factors of post-dural puncture headache among orthopaedic patients after spinal anesthesia: a prospective cohort study

Oumer,

Aychew,

Daniel

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…Body mass index (BMI) is a predisposing factor for PDPH. [ 10 28 ] The higher intra-abdominal pressure in obese patients reduces CSF leakage from the dural puncture point and thus decreases PDPH. In our study, there was no association between BMI and PDPH probably because only 3.2% patients had a BMI >30 kg/m 2 .…”

Section: Discussionmentioning

confidence: 99%

“…[ 9 ] Severity of headache was assessed using a visual analogue scale (VAS 0-10); 0 = no headache, 1-3 = mild headache, 4-7 = moderate headache, >7 = severe headache. [ 10 ]…”

Section: Methodsmentioning

confidence: 99%

Effect of reinsertion of the spinal needle stylet after spinal anaesthesia procedure on post dural puncture headache in women undergoing caesarean delivery

et al. 2020

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Background and Aims: Post dural puncture headache (PDPH) following caesarean delivery (CD) is a cause for concern for anaesthesiologists. We aimed to study the effect of reinsertion of the stylet after spinal anaesthesia procedure, prior to spinal needle removal, on the incidence of PDPH in women undergoing CD. We also evaluated the risk factors associated with PDPH. Methods: In this randomised, double-blind study in a tertiary care hospital, 870 American Society of Anesthesiologists (ASA) II/III women undergoing CD under spinal anaesthesia were randomly divided into-GroupA (n = 435): stylet reinsertion before spinal needle removal and Group B (n = 435): spinal needle removal without stylet reinsertion. All patients were questioned for occurrence of PDPH at various time-points. Statistical calculations were done using Statistical Package for the Social Sciences (SPSS) 17 version program for Windows. Results: Sixty-two (7.1%) patients developed PDPH; 27 (6.2%) patients with stylet reinsertion and 35 (8.0%) patients in those with no stylet reinsertion; P = 0.389. The onset of headache was significantly delayed in patients with stylet reinsertion (16.2 ± 6.7 and 13.2 ± 4.3 h, respectively); P = 0.041 and they had greater severity of PDPH compared with those with no stylet reinsertion; P = 0.002. Factors significantly associated with PDPH were hypothyroidism, tea habituation, number of skin punctures and needle redirections, first pass success rate, occurrence of paraesthesia and contact with bone, intraoperative hypotension and time to ambulation. Conclusions: Reinsertion of the stylet before spinal needle removal did not influence the incidence of PDPH. The onset of PDPH was delayed and the severity of headache was greater in women in whom reinsertion of the stylet was done.

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Incidence and associated factors of post dural puncture headache after cesarean section delivery under spinal anesthesia in University of Gondar Comprehensive Specialized Hospital, 2019, cross sectional study

Ferede

Nigatu

Agegnehu

et al. 2021

International Journal of Surgery Open

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Background: Post-Dural puncture headache is a major complication of neuraxial anesthesia that can occur following spinal and epidural anesthesia. It is, postural, and frontal and relieved when the patient is supine position and aggravated during standing, sitting, coughing. Therefore, we aimed to determine the incidence and factors associated with post dural puncture headache following cesarean section under spinal anesthesia. Methods: An institution based cross sectional study was conducted from March 01 to May 29, 2019. A total of 384 willing patients were included in the study after obtaining ethical consent. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) window version 20. Descriptive statistics, cross-tabs and binary logistic regression analysis were performed to identify the association between post dural puncture headache and independent variables. The strength of the association was presented using adjusted odds ratio with 95% confidence interval and p-value<0.05 was considered as statistically significant. Results: The incidence of post dural puncture headache was 31.3% (95% CI: 26.8, 35.9) with response rate of 92.5%. Majority of the patients who developed it were on the 2nd day with majority of the pain being moderate. In this study body mass index, Size of spinal needle, number of attempt and educational status of anesthetists were significantly associated with it. Conclusion: In this study non-obese patients, big spinal needles, repeated number of attempts and educational status of anesthetists were the independent associated risk factors for post dural puncture headache. Highlights

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Study of incidence of postdural puncture headache (pdph) in pregnant women with different body mass index undergoing caesarean section under spinal anaesthesia

Cited by 4 publications

References 0 publications

Incidence and associated factors of post-dural puncture headache among orthopaedic patients after spinal anesthesia: a prospective cohort study

Incidence and associated factors of post-dural puncture headache among orthopaedic patients after spinal anesthesia: a prospective cohort study

Effect of reinsertion of the spinal needle stylet after spinal anaesthesia procedure on post dural puncture headache in women undergoing caesarean delivery

Incidence and associated factors of post dural puncture headache after cesarean section delivery under spinal anesthesia in University of Gondar Comprehensive Specialized Hospital, 2019, cross sectional study

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