Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial
Introduction Spinal anesthesia is the most common method used to re- duce pain throughout the birthing process. Post-dural puncture headache (PDPH) is the most common compli- cation of neuraxial anesthesia. This study was aimed to compare the effect of median and paramedian methods on the incidence...
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| Format: | Article |
| Language: | English |
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Pediatric Anesthesia and Critical Care Journal
2021-10-01
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| Series: | Pediatric Anesthesia and Critical Care Journal (PACCJ) |
| Subjects: | |
| Online Access: | http://www.anestesiarianimazione.com/PACCJ%202021/Comparison%20of%20the%20effect%20of%20paramedian%20and%20median%20methods%20on%20postdural%20puncture%20headache.pdf |
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| author | T. Karami N. Karami H. Rastgo |
| author_facet | T. Karami N. Karami H. Rastgo |
| author_sort | T. Karami |
| collection | DOAJ |
| description | Introduction
Spinal anesthesia is the most common method used to re- duce pain throughout the birthing process. Post-dural puncture headache (PDPH) is the most common compli- cation of neuraxial anesthesia. This study was aimed to compare the effect of median and paramedian methods on the incidence of PDPH in cesarean section.
Materials and Methods
This double-blind clinical trial was performed on 140 pa- tients undergoing cesarean section referred to an educa- tional center in Urmia from March 1, 2020 to March 1, 2021. Data were collected through a demographic profile checklist and the visual analogue scale (VAS) tool. Results
The mean ± SD of patients’ age was 27.81 ± 5.92 years. There was no significant difference between median and paramedian groups in terms of age (P = 0.079). Seven pa- tients from each group had PDPH, and according to VAS tool, the mean headache severity was 4.14 and 4 in the median and paramedian groups, respectively. There was
no significant difference between the two groups in terms of incidence and severity of PDPH (P = 0.76 and P = 1, respectively). Patients with PDPH were significantly younger (P<0.001). Thirteen of the fourteen patients with PDPH aged 18 to 25 years, which was significantly higher than other groups (P<0.001).
Conclusion
The results of the present study showed that the type of spinal anesthesia, i.e., median and paramedian, has no ef- fect on the incidence and severity of PDPH. However, young age can be considered as a risk factor for PDPH. |
| first_indexed | 2024-04-13T17:24:01Z |
| format | Article |
| id | doaj.art-3c68d924c90d4452a2aceaee3a5aca26 |
| institution | Directory Open Access Journal |
| issn | 2281-8421 |
| language | English |
| last_indexed | 2024-04-13T17:24:01Z |
| publishDate | 2021-10-01 |
| publisher | Pediatric Anesthesia and Critical Care Journal |
| record_format | Article |
| series | Pediatric Anesthesia and Critical Care Journal (PACCJ) |
| spelling | doaj.art-3c68d924c90d4452a2aceaee3a5aca262022-12-22T02:37:52ZengPediatric Anesthesia and Critical Care JournalPediatric Anesthesia and Critical Care Journal (PACCJ)2281-84212021-10-019211612210.14587/paccj.2021.19aComparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trialT. Karami0N. Karami1H. Rastgo2Department of Anesthesiology, School of Medicine, Urmia University of Medical Sciences, Urmia, IranDepartment of Anesthesiology, School of Medicine, Urmia University of Medical Sciences, Urmia, IranDepartment of Anesthesiology, School of Medicine, Urmia University of Medical Sciences, Urmia, IranIntroduction Spinal anesthesia is the most common method used to re- duce pain throughout the birthing process. Post-dural puncture headache (PDPH) is the most common compli- cation of neuraxial anesthesia. This study was aimed to compare the effect of median and paramedian methods on the incidence of PDPH in cesarean section. Materials and Methods This double-blind clinical trial was performed on 140 pa- tients undergoing cesarean section referred to an educa- tional center in Urmia from March 1, 2020 to March 1, 2021. Data were collected through a demographic profile checklist and the visual analogue scale (VAS) tool. Results The mean ± SD of patients’ age was 27.81 ± 5.92 years. There was no significant difference between median and paramedian groups in terms of age (P = 0.079). Seven pa- tients from each group had PDPH, and according to VAS tool, the mean headache severity was 4.14 and 4 in the median and paramedian groups, respectively. There was no significant difference between the two groups in terms of incidence and severity of PDPH (P = 0.76 and P = 1, respectively). Patients with PDPH were significantly younger (P<0.001). Thirteen of the fourteen patients with PDPH aged 18 to 25 years, which was significantly higher than other groups (P<0.001). Conclusion The results of the present study showed that the type of spinal anesthesia, i.e., median and paramedian, has no ef- fect on the incidence and severity of PDPH. However, young age can be considered as a risk factor for PDPH.http://www.anestesiarianimazione.com/PACCJ%202021/Comparison%20of%20the%20effect%20of%20paramedian%20and%20median%20methods%20on%20postdural%20puncture%20headache.pdfpost dural puncture headachepdphcesarean sectionspinal anesthesia |
| spellingShingle | T. Karami N. Karami H. Rastgo Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial Pediatric Anesthesia and Critical Care Journal (PACCJ) post dural puncture headache pdph cesarean section spinal anesthesia |
| title | Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial |
| title_full | Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial |
| title_fullStr | Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial |
| title_full_unstemmed | Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial |
| title_short | Comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce- sarean sections undergoing spinal anesthesia. A double blind clinical trial |
| title_sort | comparison of the effect of paramedian and median methods on postdural puncture headache among candidates for elective ce sarean sections undergoing spinal anesthesia a double blind clinical trial |
| topic | post dural puncture headache pdph cesarean section spinal anesthesia |
| url | http://www.anestesiarianimazione.com/PACCJ%202021/Comparison%20of%20the%20effect%20of%20paramedian%20and%20median%20methods%20on%20postdural%20puncture%20headache.pdf |
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