The interrelation between body mass index and post-dural puncture headache in parturient women.

Autor: Beyaz SG; Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Istinye University, Istanbul, Republic of Turkey., Ergönenç T; Department of Anesthesiology, Akyazı State Hospital, Sakarya, Republic of Turkey., Saritaş A; Department of Anesthesiology and Reanimation, Tepecik Training and Research Hospital, İzmir, Republic of Turkey., Şahin F; Department of Anesthesiology, Yenikent State Hospital, Sakarya, Republic of Turkey., Ülgen AM; Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey., Eman A; Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey., Doğan B; Department of Family Medicine, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey.
Jazyk: angličtina
Zdroj: Journal of anaesthesiology, clinical pharmacology [J Anaesthesiol Clin Pharmacol] 2021 Jul-Sep; Vol. 37 (3), pp. 425-429. Date of Electronic Publication: 2021 Oct 12.
DOI: 10.4103/joacp.JOACP_249_19
Abstrakt: Background and Aims: Post-dural puncture headache is seen more frequently in pregnant women due to stress, dehydration, intra-abdominal pressure, and insufficient fluid replacement after delivery. Obesity protects against post-dural puncture headache in pregnant women; increased intra-abdominal fat tissue reduced cerebrospinal fluid leakage by increasing the pressure in the epidural space. Therefore, this study investigated the influence of body mass index on post-dural puncture headache in elective cesarean section patients in whom 27G spinal needles were used.
Material and Methods: The study included 464 women who underwent elective cesarean section under spinal anesthesia. Dural puncture performed with a 27G Quincke spinal needle at the L3-4 or L4-5 intervertebral space and given 12.5 mg hyperbaric bupivacaine intrathecally. The patients were questioned regarding headache and low back pain 6, 12, 24, and 48 h after the procedure, and by phone calls on days 3 and 7.
Results: Post-dural puncture headache developed in 38 (8.2%) patients. Of the patients who developed post-dural puncture headache, 23 (60.5%) had a body mass index <30 and 15 (39.5%) had a body mass index ≥30. Of the patients who did not develop post-dural puncture headache, 258 (60, 6%) had a body mass index <30 and 168 (39, 4%) had a body mass index ≥30.
Conclusion: This prospective study found the body mass index values did not affect post-dural puncture headache in the elective cesarean section performed under spinal anesthesia.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2021 Journal of Anaesthesiology Clinical Pharmacology.)
Databáze: MEDLINE
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