Postdural puncture headache: Incidence and predisposing factors in a university hospital
Yıl: 2019 Cilt: 31 Sayı: 1 Sayfa Aralığı: 1 - 8 Metin Dili: İngilizce DOI: 10.5505/agri.2018.43925 İndeks Tarihi: 07-11-2019
Postdural puncture headache: Incidence and predisposing factors in a university hospital
Öz: Objectives: Postdural puncture headache (PDPH) may occur 12–72 hours after spinal anesthesia. PDPH causes patient discomfort following spinal anesthesia and therefore it presents a challenging situation for anesthetists.Methods: This prospective randomized study enrolled 613 patients who were 18 years or older and who had been operated under spinal anesthesia. The spinal anesthesia procedure was performed with the patient in a sitting position throughthe L3-4, L4-5 interspaces, using 25 and 26 gauge (G) quincke and pencil-point spinal needles. The gender, age, body massindex, level of sensory block, mobilization time of the patients and also the experience and physical fatigue condition of thephysicians were recorded. In the postoperative period all patients were questioned as to whether they experienced headache.These questions were repeated at postoperative 1st, 24th, 48th and 72nd hours in the hospital and on the 7th day by phone afterthey were discharged.Results: Compared to older patients, patients between the ages of 25 to 40 (p<0.001) and compared to other operations, C/Spatients (p: 0.003) experienced headaches more frequently in the postoperative period. The other two important factors werethe experience (p: 0.013) and the physical fatigue of the physician (p: 0.001) on the day of surgery.Conclusion: The experience and good physical condition of the physician, TUR or anorectal surgery, a patient over 40 yearsof age and using pencil-point spinal needles during the spinal anesthesia procedure were associated with a reduced risk of postdural puncture headache.
Anahtar Kelime: Konular:
Postdural ponksiyon baş ağrısı: Bir üniversite hastanesinde görülme insidansı ve kolaylaştırıcı faktörler
Öz: Amaç: Post dural ponksiyon baş ağrısı, spinal anesteziden 12–72 saat sonra ortaya çıkmaktadır. Aynı zamanda hastanın konforunu bozduğundan anestezistlerin korktuğu bir durumdur. Gereç ve Yöntem: Bu prospektif, randomize çalışma 18 yaş üzeri, spinal anestezi altında opere olacak 613 hastada planlanmıştır. L2-L3 ve L4-L5 aralığından, 25 ve 26 G quincke ve kalem uçlu iğneler kullanılmıştır, hastalara spinal anestezi oturur pozisyonda uygulanmıştır. Hastanın cinsiyeti, yaşı, vücut kütle indeksi, duyu bloğu düzeyi, mobilizasyon zamanı, hekimin deneyimi ve fiziksel yorgunluğu kaydedildi. Tüm hastalar 1., 24., 48. ve 72. saatlerde hastanede takip edildi ve 7. gününde baş ağrısı olup olmadıkları sorulmak üzere telefonla evlerine ulaşıldı. Bulgular: Yaşlı hastalarla karşılaştırıldığında, 25–40 yaş arası hastalar (p<0.001) ve diğer operasyonlarla karşılaştırıldığında, sezaryen (C/S) hastaları postoperatif dönemde daha sık baş ağrısı yaşadı (p: 0.003). Diğer iki önemli faktör, deneyim (p: 0.013) ve ameliyat günündeki doktorun fiziksel yorgunluğu (p: 0.001) idi. Sonuç: Tecrübeli, yorgun olmayan doktorlar, TUR veya anorektal cerrahi, 40 yaş üstü hastalar ve kalem uçlu spinal iğne kullanımı postdural ponksiyon baş ağrısı sıklığını azaltacaktır.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | PİRBUDAK L, ÖZCAN H, TÜMTÜRK P (2019). Postdural puncture headache: Incidence and predisposing factors in a university hospital. , 1 - 8. 10.5505/agri.2018.43925 |
| Chicago | PİRBUDAK Lütfiye,ÖZCAN Halil İbrahim,TÜMTÜRK PINAR Postdural puncture headache: Incidence and predisposing factors in a university hospital. (2019): 1 - 8. 10.5505/agri.2018.43925 |
| MLA | PİRBUDAK Lütfiye,ÖZCAN Halil İbrahim,TÜMTÜRK PINAR Postdural puncture headache: Incidence and predisposing factors in a university hospital. , 2019, ss.1 - 8. 10.5505/agri.2018.43925 |
| AMA | PİRBUDAK L,ÖZCAN H,TÜMTÜRK P Postdural puncture headache: Incidence and predisposing factors in a university hospital. . 2019; 1 - 8. 10.5505/agri.2018.43925 |
| Vancouver | PİRBUDAK L,ÖZCAN H,TÜMTÜRK P Postdural puncture headache: Incidence and predisposing factors in a university hospital. . 2019; 1 - 8. 10.5505/agri.2018.43925 |
| IEEE | PİRBUDAK L,ÖZCAN H,TÜMTÜRK P "Postdural puncture headache: Incidence and predisposing factors in a university hospital." , ss.1 - 8, 2019. 10.5505/agri.2018.43925 |
| ISNAD | PİRBUDAK, Lütfiye vd. "Postdural puncture headache: Incidence and predisposing factors in a university hospital". (2019), 1-8. https://doi.org/10.5505/agri.2018.43925 |
| APA | PİRBUDAK L, ÖZCAN H, TÜMTÜRK P (2019). Postdural puncture headache: Incidence and predisposing factors in a university hospital. Ağrı, 31(1), 1 - 8. 10.5505/agri.2018.43925 |
| Chicago | PİRBUDAK Lütfiye,ÖZCAN Halil İbrahim,TÜMTÜRK PINAR Postdural puncture headache: Incidence and predisposing factors in a university hospital. Ağrı 31, no.1 (2019): 1 - 8. 10.5505/agri.2018.43925 |
| MLA | PİRBUDAK Lütfiye,ÖZCAN Halil İbrahim,TÜMTÜRK PINAR Postdural puncture headache: Incidence and predisposing factors in a university hospital. Ağrı, vol.31, no.1, 2019, ss.1 - 8. 10.5505/agri.2018.43925 |
| AMA | PİRBUDAK L,ÖZCAN H,TÜMTÜRK P Postdural puncture headache: Incidence and predisposing factors in a university hospital. Ağrı. 2019; 31(1): 1 - 8. 10.5505/agri.2018.43925 |
| Vancouver | PİRBUDAK L,ÖZCAN H,TÜMTÜRK P Postdural puncture headache: Incidence and predisposing factors in a university hospital. Ağrı. 2019; 31(1): 1 - 8. 10.5505/agri.2018.43925 |
| IEEE | PİRBUDAK L,ÖZCAN H,TÜMTÜRK P "Postdural puncture headache: Incidence and predisposing factors in a university hospital." Ağrı, 31, ss.1 - 8, 2019. 10.5505/agri.2018.43925 |
| ISNAD | PİRBUDAK, Lütfiye vd. "Postdural puncture headache: Incidence and predisposing factors in a university hospital". Ağrı 31/1 (2019), 1-8. https://doi.org/10.5505/agri.2018.43925 |
