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

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...

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Main Authors: Hassan Mohamed Ali, Mohamed Yehya Mohamed, Yahya Mohamed Ahmed
Format: Article
Language:English
Published: Taylor & Francis Group 2014-10-01
Series:Egyptian Journal of Anaesthesia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110184914000634
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author Hassan Mohamed Ali
Mohamed Yehya Mohamed
Yahya Mohamed Ahmed
author_facet Hassan Mohamed Ali
Mohamed Yehya Mohamed
Yahya Mohamed Ahmed
author_sort Hassan Mohamed Ali
collection DOAJ
description 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 of the pencil point needle or a smaller needle in Cairo university hospital regardless the economic, teaching and manufacturing reasons.
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spelling doaj.art-b695deff3b59438f8cca8fa9c4edfbdb2022-12-22T02:00:38ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492014-10-0130438338610.1016/j.egja.2014.06.001Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo UniversityHassan Mohamed Ali0Mohamed Yehya Mohamed1Yahya Mohamed Ahmed2Anesthesia Department, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptBackground: 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 of the pencil point needle or a smaller needle in Cairo university hospital regardless the economic, teaching and manufacturing reasons.http://www.sciencedirect.com/science/article/pii/S1110184914000634Cairo universityPostdural puncture headacheCesarean sectionSpinal anesthesia
spellingShingle Hassan Mohamed Ali
Mohamed Yehya Mohamed
Yahya Mohamed Ahmed
Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University
Egyptian Journal of Anaesthesia
Cairo university
Postdural puncture headache
Cesarean section
Spinal anesthesia
title Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University
title_full Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University
title_fullStr Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University
title_full_unstemmed Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University
title_short Postdural puncture headache after spinal anesthesia in cesarean section: Experience in six months in 2736 patients in Kasr El aini teaching hospital – Cairo University
title_sort postdural puncture headache after spinal anesthesia in cesarean section experience in six months in 2736 patients in kasr el aini teaching hospital cairo university
topic Cairo university
Postdural puncture headache
Cesarean section
Spinal anesthesia
url http://www.sciencedirect.com/science/article/pii/S1110184914000634
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