A retrospective Evaluation of the effect of Patient Position on Postdural Puncture Headache: is Sitting Position Worse?. | [Anaesthesia, Pain and Intensive Care • 2015]

Author(s):

1. Ibrahim ztrk: Department of Anesthesiology and Reanimation, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey

2. Ismail Sirit: Department of Anesthesiology and Reanimation, Maternity and Children Hospital, Siirt, Turkey

3. Dilek Yaziciolu: Department of Anesthesiology and Reanimation, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey

Abstract:

Background: Postdural puncture headache is an unpleasant complication of spinal anesthesia. We aimed to investigate the association between the position in which spinal anesthesia was performed and occurrence of postdural puncture headache. Methodology: Records of patients who underwent cesarean section between January 2013 and November 2013 with spinal anesthesia were examined retrospectively. Patients older than 18 were included in the study. Convertion to general anesthesia was the exclusion criteria. Demographic data of patients (age, weight, height and physical status), comorbid diseases, position of patient while performing spinal anesthesia, the number of spinal puncture attempts and the incidence of postdural puncture headache were recorded. Results: A total of 149 records of patients, who met the inclusion criteria, were analysed (sitting position n=72 and lateral position n=77). Postdural puncture headache developed in 11 (15.2%) in the sitting position and 10 (12.9%) in the lateral position (p>0.05). There was no difference between groups in terms of age, weight, height, American Society of Anesthesiologists (ASA) physical status, comorbid diseases, attemp numbers and frequency of postdural puncture headache (p>0.05). Conclusion: We conclude that the patient position during spinal anesthesia performance does not affect postdural puncture headache incidence. Therefore, one of them may be preferred according to the experience of anesthesist.

Page(s): 130-134

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 2, Year: 2015

Keywords:

Keywords are not available for this article.

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