Post Dural Puncture Headache

Deo, GP

doi:10.3126/jcmc.v3i1.8457

Cited by 3 publications

(5 citation statements)

References 52 publications

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“…Research studies recommends normal hydration to be administered post-surgery, however, patient should not be allowed to become dehydrated as it is known to cause headache. 20 Prospective studies have demonstrated that the incidence of PDPH is not related to increase fluid intake per se as there is no documented evidence to fortify a direct correlation between CSF production and intravascular volume status. 21 These lines are in accordance with the findings of an observational study on PDPH in SP where it was seen that oral and intravenous fluids is a common mode of relief measure for PDPH, which was used effectively prophylactically and curatively in 82.6% and 17.4% of study participants.…”

Section: Discussionmentioning

confidence: 99%

Influence of demographic profiles and spinal anaesthesia procedures on patients with treated and untreated coffee related to post dural puncture headache pain score

Jyotsana¹,

Sreeja²

2021

IJOGR

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Post Dural Puncture Headache (PDPH) is an iatrogenic complication of spinal anaesthesia (SP) and has devastating consequences. To assess the effect of Coffee on occurrence of PDPH in post-operative patients of Interventional and control groups by comparing the mean PDPH pain scores related to demographic profiles and spinal anaesthesia procedures. An experimental approach in which 60 patients were recruited from the accessible population and was further allocated randomly to Interventional (30) and Control (30) groups. The patients were compared the demographical profiles viz. age, education and marital status and spinal anaesthesia procedures viz. surgery types, needle size and amount of fluid intake related to PDPH pain scores by Numerical Rating Scale after administration of three doses (130mg caffeine in 150ml) of coffee at intervals of 12hrs in Interventional group and only routine care in control group. The main findings in this study were that the incidence of PDPH is lower in Interventional group compared to control group with statistically significant difference (P<0.001) but it is not influenced by demographic profiles as well as SP procedures in Interventional group compared to control group without statistically significant observation after 24 hrs, 48hrs and 72hrs NRS pain score, respectively.The use coffee is an effective, safe, non-invasive treatment for prevention of PDPH.

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Section: Discussionmentioning

confidence: 99%

Influence of demographic profiles and spinal anaesthesia procedures on patients with treated and untreated coffee related to post dural puncture headache pain score

Jyotsana¹,

Sreeja²

2021

IJOGR

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“…with PDPH, we considered factors that may contribute to PDPH in our setting taking into account the patient burden and hospital limitations. (7,12,13,16,20).…”

Section: Discussionmentioning

confidence: 99%

Incidence Of Post Dural Puncture Headache And Associated Factors Following Spinal Anaesthesia For Caesarean Delivery In Mulago National Referral Hospital

Nambooze

Kiggundu

et al. 2019

Preprint

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Background Spinal anaesthesia is a cost effective anaesthesia technique commonly used for abdominal procedures like caesarean sections. The incidence of post dural puncture headaches (PDPH) which is one of the most reported complications) remains unknown in Uganda. We set out to study the incidence of PDPH and associated factors following spinal anaesthesia in mothers delivering by caesarean section in Mulago National Referral Hospital. Methods Prospective cohort study among 1294 women that received spinal anaesthesia for emergency caesarean section delivery from July 2015 to February 2016. Consecutive sampling was applied to recruit participants. Pre-tested interviewer administered questionnaires were used to collect information on demographics and associated factors. Both bivariate and multivariate logistic regressions were used with a P value of 0.05 and confidence interval of 95% being considered statistically significant. Results The incidence of PDPH was found to be 48.8% (n=239/1294) (95%CI: 46.0-51.6). Significant factors associated with PDPH were history of spinal anaesthesia OR 1.3 95% CI (1.0-1.6) p=0.04 and loss more than 500mls of blood during surgery OR 2.2, 95% CI (1.1-4.2) P=0.02. Conclusion Results from our study indicate high incidence of PDPH women undergoing spinal anesthesia for Caesarean section. Prior exposure to spinal anesthesia and blood loss of more than 500mls are the major associated factors. There is need to objectively screen women at risk for PDPH prior to caesarean section and institute appropriate interventions.

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“…It might be associated with nausea, vomiting, tinnitus, vertigo, dizziness, paresthesia of scalp, limb pain, visual disturbances, cranial nerve palsies etc. Symptoms usually start within 48 hours in 66% cases and Ashok Kumar Phani 1* Somen Chowdhury 2 Priyatosh Das 3 Farid Uddin Ahmed 4 Md. Humayun Kabir 5 Md.Ruhul Amin 6 Pradip Kumar Kayasthagir 7 Md.…”

Section: Introductionmentioning

confidence: 99%

“…Humayun Kabir 5 Md.Ruhul Amin 6 Pradip Kumar Kayasthagir 7 Md. Hassanuzzaman 7 within 3 days in more than 90% cases 3,4 . Although PDPH is usually self limiting and non fatal, its postural nature prevents the patients from performing routine activities.…”

Section: Introductionmentioning

confidence: 99%

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Comparing the Incidence of Postdural Puncture Headache After Diagnostic Lumbar Puncture due to 22 Gauge Standard Versus 25 Gauge Atraumatic Needle : A Randomized Controlled Trial

Phani¹,

Chowdhury²,

Das³

et al. 2021

Chatt Maa Shi Hosp Med Coll J

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Background: There is growing evidence that the incidence of Postdural Puncture Headache (PDPH) after Lumber Puncture (LP) with the smaller, non-cutting needle is less. Nevertheless, larger, cutting needles are still widely used for this procedure in Bangladesh. The aim of this study was to compare the incidence and severity of PDPH between 22 G standard needle and 25 G atraumatic needle for diagnostic LP in patients with neurological symptoms. Methods and materials: This single-blind, randomized, controlled trial was carried out in Department of Neurology, Chittagong Medical College Hospital, during February 2017 to January 2018. One hundred consecutive patients admitted in Neurology ward fulfilled the set inclusion and exclusion criteria were enrolled in the study and randomly divided into two equal groups: Group A (LP was done with 22 G standard needle) and Group B (LP was done with 25 G atraumatic needle). The incidence and severity of PDPH was interviewed on day 5 following LP. Results: Effective sample size was 99 (50 in Group A and 49 in Group B) as one patient was dropped out. Both groups were similar in terms of baseline sociodemographic and clinical characteristics. LP was successful in first attempt in 25 (50%) and 28 (57.8%) patients in Group A and Group B respectively. Incidence of PDPH was significantly higher in Group A than Group B. Severity of PDPH was also significantly higher in Group A than in Group B with regards to presence of moderate degree of PDPH. Analgesics use was significantly less in Group B in comparison to Group A. Absolute adjusted risk of mild to moderate PDPH with 25G atraumatic needles was reduced by 3.74 times (95% CI: 1.22-11.44) compared to 22 G standard needle. Conclusion: 25 G atraumatic needles significantly reduced the incidence and severity of PDPH as compared to 22G standard needle. So, using 25 G atraumatic needle would be beneficial for diagnostic LP procedure. Chatt Maa Shi Hosp Med Coll J; Vol.20 (1); January 2021; Page 67-71

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Post Dural Puncture Headache

Cited by 3 publications

References 52 publications

Influence of demographic profiles and spinal anaesthesia procedures on patients with treated and untreated coffee related to post dural puncture headache pain score

Influence of demographic profiles and spinal anaesthesia procedures on patients with treated and untreated coffee related to post dural puncture headache pain score

Incidence Of Post Dural Puncture Headache And Associated Factors Following Spinal Anaesthesia For Caesarean Delivery In Mulago National Referral Hospital

Comparing the Incidence of Postdural Puncture Headache After Diagnostic Lumbar Puncture due to 22 Gauge Standard Versus 25 Gauge Atraumatic Needle : A Randomized Controlled Trial

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