Examination of Postdural Puncture Headache Frequency, Predisposing Factors and Treatment Applied in Patients Undergoing Spinal Anesthesia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postdural Puncture Headache
- Sponsor
- Mustafa Soner Ozcan
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- postdural puncture headache frequency
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Post-dural puncture headache (PDPH) is one of the most important complications of neuraxial blocks and lumbar interventions for cerebrospinal fluid (CSF) examination. It occurs due to tear in the dura mater and loss of cerebrospinal fluid (CSF) after intrathecal or epidural interventions.The incidence of PDPH depends on the thickness of the needle used and the type of tip. Headaches are more common with thick needles than with thin needles.In our study, postdural puncture headache in patients whose surgery was planned and spinal anesthesia was applied at Süleyman Demirel University faculty of medicine;frequency, predisposing factors, treatment intended to examine.
Detailed Description
Different anesthesia techniques are applied to patients undergoing surgery. These are general anesthesia and regional (Spinal, Epidural, peripheral nerve blocks, etc.) anesthesia applications. Today, regional anesthesia is the most frequently preferred anesthesia method by anesthesiologists due to its low side effects. Spinal anesthesia is the temporary stopping of nerve conduction with a local anesthetic solution injected into the cerebrospinal fluid. It is one of the most commonly used regional anesthesia techniques today.Important advantages of regional anesthesia include the patient's continued spontaneous breathing, preservation of oropharyngeal reflexes, continuation of analgesia in the postoperative period, early mobilization, and short hospital stay.Post-dural puncture headache (PDPH) is one of the most important complications of neuraxial blocks and lumbar interventions for cerebrospinal fluid (CSF) examination. The incidence of PDPH is significantly higher in young people than in the elderly, in women compared to men, and in pregnant women compared to the normal population.In our study, spinal anesthesia cases will be examined. Patients with headache will be identified. Patients' demographic data (age, height, body weight, gender, comorbidities), ASA (American Society of Anesthesiologists) score, operation type, presence of headache etiology, needle type and diameter used, number of interventions and procedures. level, amount of local anesthetic given, adjuvant drugs added, experience of the practitioner, amount of fluid given, date and time of headache onset, treatment and procedure complications will be monitored and recorded in the form.
Investigators
Mustafa Soner Ozcan
medical doctor
Suleyman Demirel University
Eligibility Criteria
Inclusion Criteria
- •18 years and over ASA risk score I - II - III Patients with body mass index (BMI \<40 kg/m²) Patients undergoing spinal anesthesia
Exclusion Criteria
- •ASA IV, V, concomitant severe cardiac, respiratory, hepatic, renal disease Patients who do not want spinal anesthesia Those who are allergic to the medications used Those with localized infection at the injection site Those who have coagulopathy and use anticoagulant drugs Those with a history of chronic pain (migraine, sinusitis, etc.) Those with alcohol and opioid addiction Psychiatric diseases and patients with communication difficulties Those with vertebra or chest wall abnormalities Those with obesity (BMI \> 40 kg/m²)
Outcomes
Primary Outcomes
postdural puncture headache frequency
Time Frame: 6 months
-rate of headache
postdural puncture headache treatments
Time Frame: 6 months
-rate of treatments,
Number of patients receiving postdural puncture headache treatments
Time Frame: 6 months
-number of participants
is postdural puncture headache treatments successful?
Time Frame: 6 months
-success of treatment participants were also asked about the success of their treatment; the answer was yes or no.
number of patient having postdural puncture headache
Time Frame: 6 months
-number of participants
Secondary Outcomes
- Relationship between postdural puncture headache and predisposing factors(6 months)
- Number of patients obtained as a result of the relationship between postdural puncture headache and predisposing factors(6 months)