Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch

KUL, Seval; KAYA UĞUR, BERNA; PİRBUDAK, Lütfiye; UĞUR, Mete Gürol; GANİDAĞLI, Süleyman

Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch

Lütfiye PİRBUDAK, (Gaziantep Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep, Türkiye)

Mete Gürol UĞUR, (Gaziantep Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Gaziantep, Türkiye)

BERNA KAYA UĞUR, (Gaziantep Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep, Türkiye)

Seval KUL, (Gaziantep Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Gaziantep, Türkiye)

Süleyman GANİDAĞLI (Gaziantep Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep, Türkiye)

Ağrı

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Yıl: 2014 Cilt: 26 Sayı: 3 Sayfa Aralığı: 101 - 106 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch

Öz:

Amaç: Dural ponksiyon sonrası baş ağrısı (DPSB) olguları, katkıda bulunan faktörler, epidural kan yaması (EKY) tedavisi vetedaviye yanıtları değerlendirildi. Bu çalışmada amacımız EKY uygulanan DPSB olgularını incelemektir. Gereç ve Yöntem: Bu geriye dönük çalışmada, EKY uygulanmak suretiyle tedavi edilen 77 DPSB olgusu dahil edildi. Olgular yaş,cinsiyet, geçirilen operasyonun tipi, kullanılan iğnenin tipi ve çapı, spinal girişim sayısı, EKY uygulaması sırasında radiküler ağrı,sonrasında anal jezi kalitesi ve olgu memnuniyeti açısından değerlendirildi. Bulgular: Yetmiş yedi olgunun (46 kadın, 31 erkek) yaş ortalaması 31.5±11.3 ve en yaygın yapılan cerrahi sezaryan idi; 48 olgudabirdenfazla girişim yapılmıştı, 37 olguda 22 G, 20 olguda 25 G spinal iğne kullanılmıştı. Baş ağrısı süresi kadın hastalarda orta- lama 3.1±1.3 gün, erkek hastalarda 4.6±1.3 gündü (p=0.020). EKY uygulanan olgularda 10. dakikadan itibaren VAS anlamlıderecede azalırken, olgu memnuniyeti anlamlı olarak arttı (p=0.001). Sadece bir (%1.29) olguda iki defa EKY ye ihtiyaç duyuldu.Geçici radiküler ağrı EKY yönetiminde 17 olguda (%22.07) oldu, ancak 5-10 dk içinde geriledi. Sonuç: DPSBli olgularda EKY özellikle obstetrik olgularda etkin ve güvenilirdir. DPSB semptomlarının kadın hastalarda dahaerken görüldüğünü saptadık. Spinal anestezi uygulamalarında 22 G den daha küçük çaplı iğneler tercih edilebilir ve birden çokdenemeden özenle kaçınılabilir.

Anahtar Kelime:

Konular: Cerrahi

Epidural kan yaması uygulanan dural-ponksiyon sonrası başağrısı olgularında etkileyen faktörler ve tedavi etkinliğinin değerlendirilmesi

Öz:

Summary Objectives: We evaluated post dural puncture headache (PDPH) cases and the contributing factors and monitored the treat- ment response with epidural blood patch (EBP), and other therapies. Methods: In this retrospective study, 77 PDPH cases treated with EBP were included. Patients were evaluated in terms ofage, gender, type of surgery, type and diameter of the needle used for dural puncture, number(s) of dural puncture, onset ofpunctural headache, any conservative therapies for PDPH, number(s) of EBP application, analgesia quality at the 10th min- ute and 2nd hour after EBP application, and radicular pain during procedure. Results: The mean age of 77 patients (46 female, 31 male) was 31.5 ± 11.3, and the most common surgery performed wascesarean section. More than one attempt was applied in 48 patients. In 37 cases, a 22G spinal needle was used, while a 25 Gspinal needle was used in 20 cases. The mean duration of the headache was 3.1 ± 1.3 days for female patients and 4.6 ± 2.3days for male patients (p=0.020). VAS significantly decreased and patient satisfaction significantly increased after the 10thminute in patients who had EBP (p=0.001). In only one case (2%), the second EBP was needed for pain relief. Transientradicular pain was observed in 17 cases (22.07%) at administration of EBP. Conclusion: In PDPH cases, EBP is an effective and relatively safe method, especially in obstetric patients. We reported thatthe PDPH symptoms presented earlier in female patients. A preference of a small diameter needle (less than 22 G) and avoid- ance of multiple attempts is important for spinal anesthesia.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

TRDizin Dışındaki Atıf Sayıları

OpenCitations: 0

OpenAlex: 0

Crossref: 0

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APA	PİRBUDAK L, UĞUR M, KAYA UĞUR B, KUL S, GANİDAĞLI S (2014). Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. , 101 - 106.
Chicago	PİRBUDAK Lütfiye,UĞUR Mete Gürol,KAYA UĞUR BERNA,KUL Seval,GANİDAĞLI Süleyman Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. (2014): 101 - 106.
MLA	PİRBUDAK Lütfiye,UĞUR Mete Gürol,KAYA UĞUR BERNA,KUL Seval,GANİDAĞLI Süleyman Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. , 2014, ss.101 - 106.
AMA	PİRBUDAK L,UĞUR M,KAYA UĞUR B,KUL S,GANİDAĞLI S Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. . 2014; 101 - 106.
Vancouver	PİRBUDAK L,UĞUR M,KAYA UĞUR B,KUL S,GANİDAĞLI S Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. . 2014; 101 - 106.
IEEE	PİRBUDAK L,UĞUR M,KAYA UĞUR B,KUL S,GANİDAĞLI S "Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch." , ss.101 - 106, 2014.
ISNAD	PİRBUDAK, Lütfiye vd. "Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch". (2014), 101-106.

APA	PİRBUDAK L, UĞUR M, KAYA UĞUR B, KUL S, GANİDAĞLI S (2014). Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. Ağrı, 26(3), 101 - 106.
Chicago	PİRBUDAK Lütfiye,UĞUR Mete Gürol,KAYA UĞUR BERNA,KUL Seval,GANİDAĞLI Süleyman Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. Ağrı 26, no.3 (2014): 101 - 106.
MLA	PİRBUDAK Lütfiye,UĞUR Mete Gürol,KAYA UĞUR BERNA,KUL Seval,GANİDAĞLI Süleyman Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. Ağrı, vol.26, no.3, 2014, ss.101 - 106.
AMA	PİRBUDAK L,UĞUR M,KAYA UĞUR B,KUL S,GANİDAĞLI S Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. Ağrı. 2014; 26(3): 101 - 106.
Vancouver	PİRBUDAK L,UĞUR M,KAYA UĞUR B,KUL S,GANİDAĞLI S Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. Ağrı. 2014; 26(3): 101 - 106.
IEEE	PİRBUDAK L,UĞUR M,KAYA UĞUR B,KUL S,GANİDAĞLI S "Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch." Ağrı, 26, ss.101 - 106, 2014.
ISNAD	PİRBUDAK, Lütfiye vd. "Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch". Ağrı 26/3 (2014), 101-106.