Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini
Post Dural Puncture Headache (PDPH) is defined as an iatrogenic complication of spinal anesthesia. The pathophysiology of PDPH remains unknown until today, but the referenced theory is due to the decrease of the LCS (Liquor Cerebrospinal) volume and pressure. The early studies confirmed that PDPH wa...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Indonesian |
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Universitas Padjadjaran
2013-04-01
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| Series: | Jurnal Anestesi Perioperatif |
| Subjects: | |
| Online Access: | http://journal.fk.unpad.ac.id/index.php/jap/article/view/155 |
| _version_ | 1819212846393720832 |
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| author | Mohamad Andy Prihartono Ezra Oktaliansah A. Himendra Wargahadibrata |
| author_facet | Mohamad Andy Prihartono Ezra Oktaliansah A. Himendra Wargahadibrata |
| author_sort | Mohamad Andy Prihartono |
| collection | DOAJ |
| description | Post Dural Puncture Headache (PDPH) is defined as an iatrogenic complication of spinal anesthesia. The pathophysiology of PDPH remains unknown until today, but the referenced theory is due to the decrease of the LCS (Liquor Cerebrospinal) volume and pressure. The early studies confirmed that PDPH was preventable with bed rest position for 24 hour. Numerous current studies have proven that early mobilization does not increase PDPH risks. The objective of this study was to prove that there is no significant difference in PDPH incidence in bed rest patients for 24 hours compared with early mobilization patients as soon as the motoric function has been recovered. The study was conducted using quasi experimental type and control time series design. This study involved 200 pregnant women at the age of 18-30 years that were on Caesarean Section using spinal anesthesia then they were classified into 2 groups with 100 subjects, respectively. The first group was conducted early mobilization as soon as the motoric function has been recovered (using Bromage 1 scale) and the second group was conducted mobilization after bed rest 24 hours post sectio Caesarean. And then, each group was observed for the occurrence of PDPH until 2 days post surgery. The study analysis was assessed using chi square test and Mann Whitney test, which the score of p<0,05 was considered statistically significant value. Statistical analysis showed that the comparison of PDPH incidence in the early mobilization group (after motoric function had been recovered) and the bed rest for 24 hour group was not statistically significant (p>0,05). The first group (early mobilization) showed 100% of the patients without PDPH incidence and the second group (bed rest for 24 hour) showed 99% of the patients without PDPH incidence. The summary of this study revealed that there was no significant difference on PDPH incidence in post Caesarean section patients underwent spinal anesthesia with bed rest for 24 hours compared with early mobilization as soon as the motoric function had been recovered. |
| first_indexed | 2024-12-23T06:49:27Z |
| format | Article |
| id | doaj.art-878a7217f76a44b7b2d73e08a9b69bc0 |
| institution | Directory Open Access Journal |
| issn | 2337-7909 2338-8463 |
| language | Indonesian |
| last_indexed | 2024-12-23T06:49:27Z |
| publishDate | 2013-04-01 |
| publisher | Universitas Padjadjaran |
| record_format | Article |
| series | Jurnal Anestesi Perioperatif |
| spelling | doaj.art-878a7217f76a44b7b2d73e08a9b69bc02022-12-21T17:56:28ZindUniversitas PadjadjaranJurnal Anestesi Perioperatif2337-79092338-84632013-04-0111182510.15851/jap.v1n1.155Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi DiniMohamad Andy Prihartono0Ezra Oktaliansah1A. Himendra Wargahadibrata2Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin BandungDepartemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin BandungDepartemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin BandungPost Dural Puncture Headache (PDPH) is defined as an iatrogenic complication of spinal anesthesia. The pathophysiology of PDPH remains unknown until today, but the referenced theory is due to the decrease of the LCS (Liquor Cerebrospinal) volume and pressure. The early studies confirmed that PDPH was preventable with bed rest position for 24 hour. Numerous current studies have proven that early mobilization does not increase PDPH risks. The objective of this study was to prove that there is no significant difference in PDPH incidence in bed rest patients for 24 hours compared with early mobilization patients as soon as the motoric function has been recovered. The study was conducted using quasi experimental type and control time series design. This study involved 200 pregnant women at the age of 18-30 years that were on Caesarean Section using spinal anesthesia then they were classified into 2 groups with 100 subjects, respectively. The first group was conducted early mobilization as soon as the motoric function has been recovered (using Bromage 1 scale) and the second group was conducted mobilization after bed rest 24 hours post sectio Caesarean. And then, each group was observed for the occurrence of PDPH until 2 days post surgery. The study analysis was assessed using chi square test and Mann Whitney test, which the score of p<0,05 was considered statistically significant value. Statistical analysis showed that the comparison of PDPH incidence in the early mobilization group (after motoric function had been recovered) and the bed rest for 24 hour group was not statistically significant (p>0,05). The first group (early mobilization) showed 100% of the patients without PDPH incidence and the second group (bed rest for 24 hour) showed 99% of the patients without PDPH incidence. The summary of this study revealed that there was no significant difference on PDPH incidence in post Caesarean section patients underwent spinal anesthesia with bed rest for 24 hours compared with early mobilization as soon as the motoric function had been recovered.http://journal.fk.unpad.ac.id/index.php/jap/article/view/155esarean section with spinal anesthesiaearly mobilizationPost Dural Puncture Headache24 hours bedrest |
| spellingShingle | Mohamad Andy Prihartono Ezra Oktaliansah A. Himendra Wargahadibrata Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini Jurnal Anestesi Perioperatif esarean section with spinal anesthesia early mobilization Post Dural Puncture Headache 24 hours bedrest |
| title | Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini |
| title_full | Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini |
| title_fullStr | Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini |
| title_full_unstemmed | Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini |
| title_short | Perbandingan Insidensi Post Dural Puncture Headache (PDPH) Pascaseksio Sesarea Dengan Anestesi Spinal Antara Tirah Baring 24 Jam Dengan Mobilisasi Dini |
| title_sort | perbandingan insidensi post dural puncture headache pdph pascaseksio sesarea dengan anestesi spinal antara tirah baring 24 jam dengan mobilisasi dini |
| topic | esarean section with spinal anesthesia early mobilization Post Dural Puncture Headache 24 hours bedrest |
| url | http://journal.fk.unpad.ac.id/index.php/jap/article/view/155 |
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