Variation in the Duration of Recumbency Post-spinal Anaesthesia in Relation to the Occurrence of Post-dural Puncture Headache
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 10
Abstract
ABSTRACT Introduction: Post-Dural Puncture Headache (PDPH) remains one of the most dreaded complications of spinal anaesthesia. Duration of recumbency has been considered as a factor in the occurrence of PDPH. Aim: This study aimed to look at the incidence of PDPH among two groups of patients that had six and twelve hours of recumbency post-spinal anaesthesia. Materials and Methods: Patients aged 15 years and above with lower limb pathologies that required surgery under spinal anaesthesia were prospectively recruited into two groups: group A patients had 6 hours of recumbency post spinal anaesthesia while group B had 12 hours. Data on the occurrence of PDPH among the two groups were collected. All patients had dural puncture with either 23G or 25G spinal needles. Results: One hundred and five patients, with mean age of 45.9 years were studied. The M:F was 1.8:1. Forty eight patients had 6 hours of recumbency while fifty seven patients had 12 hour recumbency. The incidence of PDPH in the patients studied was 9.5% with an average Pain Numerical rating score of 6. There was no significant difference in the incidence of PDPH following either 6 or 12 hours of recumbency (p-value <0.5). Conclusion: Six hours of recumbency from the time spinal anaesthesia was administered in the theatre is as safe as 12 hours.
Authors and Affiliations
Elkanah Ayodele Orimolade, Simeone Olugbade Olateju, Joseph Olorunsogo Mejabi, Adedapo Omowonuola Adetoye, Innocent Chinedu Ikem, Funbi Anthony Ayeni, Oluwadare Esan
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- EP ID EP529602
- DOI 10.7860/JCDR/2018/37183.12151
- Views 89
- Downloads 0
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