LÜTFİYE PİRBUDAK, Halil İbrahim ÖZCAN, Pınar TÜMTÜRK

Postdural puncture headache: Incidence and predisposing factors in a university hospital

Objectives: Postdural puncture headache (PDPH) may occur 12–72 hours after spinal anesthesia. PDPH causes patient discomfort following spinal anesthesia and therefore it presents a challenging situation for anesthetists. Methods: This prospective randomized study enrolled 613 patients who were 18 years or older and who had been operated under spinal anesthesia. The spinal anesthesia procedure was performed with the patient in a sitting position through the L3-4, L4-5 interspaces, using 25 and 26 gauge (G) quincke and pencil-point spinal needles. The gender, age, body mass index, level of sensory block, mobilization time of the patients and also the experience and physical fatigue condition of the physicians were recorded. In the postoperative period all patients were questioned as to whether they experienced headache. These questions were repeated at postoperative 1st, 24th, 48th and 72nd hours in the hospital and on the 7th day by phone after they were discharged. Results: Compared to older patients, patients between the ages of 25 to 40 (p

Postdural ponksiyon baş ağrısı: Bir üniversite hastanesinde görülme insidansı ve kolaylaştırıcı faktörler

Amaç: Post dural ponksiyon baş ağrısı, spinal anesteziden 12–72 saat sonra ortaya çıkmaktadır. Aynı zamanda hastanın konforunu bozduğundan anestezistlerin korktuğu bir durumdur. Gereç ve Yöntem: Bu prospektif, randomize çalışma 18 yaş üzeri, spinal anestezi altında opere olacak 613 hastada planlanmıştır. L2-L3 ve L4-L5 aralığından, 25 ve 26 G quincke ve kalem uçlu iğneler kullanılmıştır, hastalara spinal anestezi oturur pozisyonda uygulanmıştır. Hastanın cinsiyeti, yaşı, vücut kütle indeksi, duyu bloğu düzeyi, mobilizasyon zamanı, hekimin deneyimi ve fiziksel yorgunluğu kaydedildi. Tüm hastalar 1., 24., 48. ve 72. saatlerde hastanede takip edildi ve 7. gününde baş ağrısı olup olmadıkları sorulmak üzere telefonla evlerine ulaşıldı. Bulgular: Yaşlı hastalarla karşılaştırıldığında, 25–40 yaş arası hastalar (p

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