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

Autor: Serbülent Gökhan Beyaz, Tolga Ergönenç, Aykut Saritaş, Fatih Şahin, Ali Metin Ülgen, Ali Eman, Burcu Doğan
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Anaesthesiology Clinical Pharmacology, Vol 37, Iss 3, Pp 425-429 (2021)
Druh dokumentu: article
ISSN: 0970-9185
DOI: 10.4103/joacp.JOACP_249_19
Popis: 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
Databáze: Directory of Open Access Journals
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