EFFECT OF INTRATHECAL INJECTION SPEED ON POST-DURAL PUNCTURE HEADACHE IN PARTURIENTS UNDERGOING CESAREAN SECTION: A PROSPECTIVE, RANDOMIZED STUDY
Journal Title: Çukurova Anestezi ve Cerrahi Bilimler Dergisi - Year 2019, Vol 2, Issue 1
Abstract
Aim: The aim of the study was to evaluate the effect of intrathecal injection rate on post- dural puncture headache (PDPH) in cesarean patients. Material and Methods: 140 patients between 18-45 years of age who were scheduled for caesarean section with spinal anesthesia were included in the study and randomly divided into two groups. 10 mg hyperbaric 0.5% bupivacaine with a 25 G Quincke spinal needle, median inlet, from the level of L4-L5 vertebra in the sitting position, In Group I, patients received intrathecal injection as rapidly as possible and in Group II, injection was performed within 40 seconds. Hemodynamic data, ephedrine requirement and frequency of nausea and vomiting were recorded intraoperatively. 7 days after the procedure, the patients were called by phone and questioned for PDPH. The ICHD-III criteria were used to question the PDPH. Results: There was no significant difference in the incidence of postdural headache (Group I: 29.0% and Group II: 31.4%) and severity (p> 0.05). There was no significant difference between the groups when haemodynamic data, ephedrine requirement, frequency of nausea and vomiting were compared (p> 0.05). Conclusion: We suggest that the administration of hyperbaric bupivacaine at different rates to the intrathecal area does not affect the frequency and severity of PDPH, hemodynamic parameters, ephedrine requirement and frequency of nausea and vomiting in pregnant women who underwent cesarean section with spinal anesthesia.
Authors and Affiliations
Ali Kartekin, Mehmet Sargın, Sami Tutar, Sadık Özmen
Keywords
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