Post Dural Puncture Headache after Spinal Anaesthesia and Associated Factors

Abstract

Post dural puncture headache (PDPH) is a well known complication of spinal anaesthesia. It occurs after spinal anaesthesia induction due to dural and arachnoid puncture and has a significant effect on the patient's postoperative well being. This study was conducted at Mallareddy medical college for women, Hyderabad, Telangana state. This includes 100 patients aged between 20-60 years of both sexes undergoing spinal anaesthesia. Out of 100 patients, 42% of them suffered from PDPH, in those mild, moderate, severe PDPH observed in 31%, 8% and 3% patients respectively. Women after caesarean section were highly affected. PDPH was started on the 1st postoperative day and gradually decreased on the subsequent days it was in the first day 24, in the second day it was in10and third day was in 8patients after spinal injection. In this study 23, 25, 27 Gauge needle were used in which 28%, 10% and 4% patients showed PDPH. The incidence was significantly higher when large bore needles used than smaller needles were used. In this study 11% of patients had post history of PDPH and multiple attempt patients had high incidence of PDPH. Out of 27% obese patients only 2% were suffered from PDPH.

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

“…Regarding study design, three studies [ 15 , 19 , 20 ] employed a cross-sectional design; four cohort studies [ [16] , [17] , [18] , 27 ] and two RCT studies [ 21 , 22 ]. Furthermore, concerning the study population, 7 studies [ [28] , [29] , [30] , [31] , [32] , [33] ] were conducted only on parturients [ [15] , [16] , [17] , [18] , 20 , 21 , 27 , 34 ] whereas the remaining two were done on all patients from whose we extracted data of cesarean section [ 19 , 22 ] ( Table 1 ).…”