Post dural puncture headache in obstetric patients: experience from a West African teaching hospital

Nafiu, Olubukola O.; Elegbe, E. O.

doi:10.1016/j.ijoa.2006.05.001

Cited by 24 publications

(24 citation statements)

References 14 publications

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“…In our study the majority of patients have experienced mild (42.2) and moderate (31.1%) PDPH pain, which is the same as studies conducted in Ghana [18], Australia [19] and Pakistan [12]. On the other hand 26.7% of patients with PDPH complained as having severe pain.…”

Section: Discussionsupporting

confidence: 84%

Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Kassa¹,

Beyen²,

Denu³

2015

J Anesth Clin Res

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Background: Post dural puncture headache (PDPH) has been a problem for patients after dural puncture. It is one of the most frequently occurring complications following spinal anesthesia (SA). It is believed to originate from persistent leakage of cerebrospinal fluid (CSF) through the punctured Dura, greater than the CSF production after lumbar puncture. Although the problem has been widely reported, its magnitude and associated factors has never been studied in our country. Thus, the aim of this study is to assess the magnitude of post dural puncture headache (PDPH) and associated factors after spinal anesthesia among patients in university of Gondar referral and teaching hospital.

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Section: Discussionsupporting

confidence: 84%

Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Kassa¹,

Beyen²,

Denu³

2015

J Anesth Clin Res

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“…Epidural anaesthesia, which is quite popular in developed countries (3,4), may not be readily available in the developing countries because of the cost and technical skills needed to establish an epidural service. Spinal anaesthesia would therefore appear to be appropriately suited for developing countries with their meagre resources and dearth of highly skilled anaesthetists (5). Unfortunately, spinal anaesthesia is sometimes complicated by the occurrence of a post dural puncture headache (PDPHA), especially in the obstetric patient (5,6).…”

Section: Introductionmentioning

confidence: 99%

“…Spinal anaesthesia would therefore appear to be appropriately suited for developing countries with their meagre resources and dearth of highly skilled anaesthetists (5). Unfortunately, spinal anaesthesia is sometimes complicated by the occurrence of a post dural puncture headache (PDPHA), especially in the obstetric patient (5,6).…”

Section: Introductionmentioning

confidence: 99%

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Incidence of post dural puncture headache following Caesarean section under spinal anaesthesia at the Aga Khan University Hospital, Nairobi

Gisore¹,

Mung’ayi²,

Sharif³

2011

E Af Med Jrnl

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Background: Post dural puncture headache can be a debilitating complication of subarachnoid anaesthesia for a new mother. Successful management of post dural puncture headache requires adherence to clear policies and protocols with close follow up of patients by an experienced obstetric anaesthetist. Objectives: To examine the cumulative incidence and severity of post dural puncture headache in obstetric patients who consented for spinal anaesthesia for Caesarean section. Design: Prospective cohort study. Subjects: All women who underwent Caesarean sections under spinal anaesthesia and fulfilled the inclusion criteria. Setting: Aga Khan University Hospital, a teaching and referral hospital in Nairobi, Kenya. Results: The overall cumulative incidence of post dural puncture headache was found to be 20.35 % but was significantly higher in patients in whom the quincke type of needle was used than in those whose spinal anaesthetics were administered using the pencil point needle (24.2% and 4.5% respectively: p=0.042). Conclusions: The incidence of post dural puncture headache can be significantly reduced in the obstetric population at the Aga Khan University Hospital if the pencil point spinal needle was to be routinely used. We recommend that the Quincke needles should not be used in the obstetric population at the Aga Khan University Hospital.

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“…Epidural anesthesia although it is a reliable alternative with better blood pressure control and pain less labor, but because of high cost and lack of personnel still not widely used in our developing country [3][4][5]. Therefore spinal anesthesia is the first choice; unfortunately the spinal anesthesia especially in obstetrics associated by postdural puncture headache (PDPH) which may restrict the patient acceptance to this type of anesthesia and increase the mother suffer postoperatively [6].…”

Section: Introductionmentioning

confidence: 99%

Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University

Ali

Mohamed

Ahmed

2014

Egyptian Journal of Anaesthesia

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Background: This is a prospective, single-blinded observational study examined the frequency and severity of postdural puncture headache in the Egyptian female patients following spinal anesthesia for cesarean section. Method: All the females scheduled for cesarean section under spinal anesthesia in Cairo university were included and divided into two groups, one with Quinke needle G22 and one with Quinke needle G20, both groups were followed up for 7 days regarding incidence and severity of PDPH. Result: The overall incidence of postdural puncture headache was 32.58% in group with Quinke needle G22, while it was 32.86% with the group used Quinke needle G20, PDPH almost relived by the fifth day in both groups, patients rated their headache as mild to moderate on a 10-cm visual analog scale. Conclusions: This study is a documentation of the Cairo University teaching hospital experience with PDPH in female patient undergoes spinal anesthesia, and it focus on the incidence and severity related to the needle size and Egyptian population. We recommend the usage * Corresponding author. Address

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Post dural puncture headache in obstetric patients: experience from a West African teaching hospital

Cited by 24 publications

References 14 publications

Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Post Dural Puncture Headache (PDPH) and Associated Factors after Spinal Anesthesia among Patients in University of Gondar Referral and Teaching Hospital, Gondar, North West Ethiopia

Incidence of post dural puncture headache following Caesarean section under spinal anaesthesia at the Aga Khan University Hospital, Nairobi

Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University

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