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

Abstract

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

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

“…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).…”

“…Unfortunately, the spinal anaesthetic technique has been reported to be associated with the complication of post dural puncture headache (PDPH) especially in the obstetric population. The characteristic pain best described by August Bier in 1898 using a personal experience (5,6), increases a mother's suffering which may restrict the patient's acceptance to this anaesthetic technique and prolong hospital stay (7,8).…”

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

“…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.…”

“…This technique is not free from complications. Post-dural puncture headache is one of the most frequent complications of spinal anesthesia [ 1 , [4] , [5] , [6] , [7] ].…”

“…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 ].…”