@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2013;19(2):111-115
ISSN: 2252-0805 The Horizon of Medical Sciences 2013;19(2):111-115
Incidence of Headache after Spinal Anesthesia in Cesarean and its Related Factors
ARTICLE INFO
Article Type
Original ResearchAuthors
Nazemi S. H. (1)Hamzei A. (1)
Pasban Noghabi S. (*)
Moslem A. (2)
Ghafarzadeh Naji B. Z. (3)
(*) Student Research Committee, Faculty of Paramedical, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Department of Anesthesia, Faculty of Paramedical, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Department of Basic Sciences, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
(3) 22th of Bahman Hospital, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Student Research Committee, Gonabad University of Medical Sciences, Near Asian Road, Gonabad, Iran. Post Box: 397Phone: +985337229025
Fax: +985337229025
pasban_saeid@yahoo.com
Article History
Received: October 11, 2012Accepted: June 18, 2013
ePublished: June 25, 2013
ABSTRACT
Aims
Spinal anesthesia is the procedure of choice for caesarean section. There is no risk of airway hazards, such as difficult airway intubation and aspiration in this method. Some cases avoid to choose this method, because of fear of complications specially headache. This Study has been done to assess the true extent of headache after surgery with spinal anesthesia and its related factors.
Materials & Methods This cross-sectional analytic study was done in 2011 for one year in 22th of Bahman hospital of Gonabad. 200 pregnant women that was candidate for caesarean section under spinal anesthesia were selected by achievable and purposeful sampling method. All procedure was performed in a sitting position and with a disposable 25-gauge needle with 75mg Lidocaine 5% and 25 micrograms Fentanyl. Data were gathered and analyzed using the SPSS 11.5 software and independent T and Chi-square tests.
Findings 12 patients (6%) in 24 hours after spinal anesthesia and 44 cases (22%) in first week after spinal anesthesia experienced headache. Headache happening had a significant relationship with body mass index (p=0.028) and occupational factors (p=0.011) in the first week. Hypotension was the most complication (52.5%) during spinal anesthesia.
Conclusion Hypotension is the most complications during spinal anesthesia. Those with higher body mass index and those who were employed are at higher risk for headache in first week after spinal anesthesia.
Materials & Methods This cross-sectional analytic study was done in 2011 for one year in 22th of Bahman hospital of Gonabad. 200 pregnant women that was candidate for caesarean section under spinal anesthesia were selected by achievable and purposeful sampling method. All procedure was performed in a sitting position and with a disposable 25-gauge needle with 75mg Lidocaine 5% and 25 micrograms Fentanyl. Data were gathered and analyzed using the SPSS 11.5 software and independent T and Chi-square tests.
Findings 12 patients (6%) in 24 hours after spinal anesthesia and 44 cases (22%) in first week after spinal anesthesia experienced headache. Headache happening had a significant relationship with body mass index (p=0.028) and occupational factors (p=0.011) in the first week. Hypotension was the most complication (52.5%) during spinal anesthesia.
Conclusion Hypotension is the most complications during spinal anesthesia. Those with higher body mass index and those who were employed are at higher risk for headache in first week after spinal anesthesia.
CITATION LINKS
[1] Williams JW, Gary CF. Williams obstetrics. 21st ed. New York: McGraw-Hill; 2001.
[2] Crawford-Sykes A, Scarlett M, Hambleton IR, Nelson M, Rattray C. Anaesthesia for operative deliveries at the University hospital of the West Indies: A change of practice. West Indian Med J. 2005;54(3):187-91.
[3] Lam DT, Ngan Kee WD, Khaw KS. Extension of epidural blockade in labour for emergency caesarean section using 2% lidocaine with epinephrine and fentanyl, with or without alkalinisation. Anaesthesia. 2001;56(8):790-4.
[4] Hamzei A, Basiri-Moghadam M, Pasban-Noghabi S. Effect of dexamethasone on incidence of headache after spinal anesthesia in cesarean section: A single blind randomized controlled trial. Saudi Med J. 2012;33(9):948- 53.
[5] Haghbin MA, Moosavi MR. Propranolol therapeutic effect on post spinal anesthesia headache. Armaghan-e- Danesh J. 2005;9(36):38-46. [Persian]
[6] Cramer BG, Stienstra R, Dahan A, Arbous MS, Veering BT, Van Kleef JW. Transient neurological symptoms with subarachnoid lidocaine: Effect of early mobilization. Eur J Anaesth. 2005;22(1):35-9.
[7] Miller RD, Pardo MC. Basic of anesthesia. 6th ed. Philadelphia: Churchill Livingstone Elsevier; 2011.
[8] Manson L, Edwards JE, Moore RA, McQuay HJ. Single dose oral naproxane for acute postoperative pain: A quantative systemic review. BMC Anesthesiol. 2003;3(1):4.
[9] Lois B. Decision making in anesthesia by algorithmic method. Yehaneh N, Roshani B, translators. Tehran: Jamee- Negar Publication; 2003. [Persian]
[10] Turnball DK, Shepherd DB. Post-dural puncture headache: Pathogenesis, prevention and treatment. Br J Anaesth. 2003;91(5):718-29.
[11] Sadeghi SE, Rahimiyan MN, Razmi R, Abdollahyfard Gh. Effect of intravenous single dose of aminophylline on prevention of post dural puncture headache in patients who underwent spinal anesthesia: Double blind randomized trial study. Gorgan Uni Med Sci J. 2010;12(3):24-8. [Persian]
[12] Munnur U, Suresh MS. Backache, headache and neurologic deficit after regional anesthesia. Anesthesiol Clin North Am. 2003;21(1):71-86.
[13]Brinbach DJ, Browne IM. Anesthesia for obstetrics. In: Miller RD, Eriksson LI, Fleisher LA, Wiener- Kronish JP, Young WL, editors. Anesthesia. 7th ed. Philadelphia: Churchill Livingstone Elsevier; 2010.
[14] Ghaleb A. Postdural puncture headache. Anesthesiol Res Prac. 2010;40:89-102.
[15] Tavakol K, Ghaffari P, Hassanzadeh A. Study of the effect of dexamethasone and normal saline in reducing headache after spinal anesthesia in cesarean section. Armaghan-e-Danesh J. 2007;12:87-94. [Persian]
[16] Choi PT, Galinski SE, Takeuchi L, Lucas S, Tamayo C, Jadad AR. PDPH is a common complication of neuraxial blockade in parturients: A meta-analysis of obstetrical studies. Can J Anaesth. 2003;50(5):460-9.
[17] Mohammadzadeh-Jouibari A, Haghighi M, Naderi-Nabi B. Incidence of post dural puncture headache in patients undergoing cesarean section in Alzahra hospital. Guilan Univ Med Sci J. 2004;12(48):40-4.
[18] Yoon-Hee K. Difficult back, turns into less difficult back by ultrasonography. Korean J Anesthesiol. 2011;61(5):355-7.
[19] Chohan U, Hamdani GA. Post dural puncture headache. J Pak Med Association. 2003;53(8):359-67.
[20] Ghaleb A, Khorasani A, Devanand M. Post-dural puncture headache. Int J Gen Med. 2012;5:45-51.
[21] Gosch UW, Hueppe M, Hallschmid M, Born J, Schmucker P, Meier T. Post-dural puncture headache in young adults: Comparison of two small-gauge spinal catheters with different needle design. Br J Anaesth. 2005;94(5):657-61.
[2] Crawford-Sykes A, Scarlett M, Hambleton IR, Nelson M, Rattray C. Anaesthesia for operative deliveries at the University hospital of the West Indies: A change of practice. West Indian Med J. 2005;54(3):187-91.
[3] Lam DT, Ngan Kee WD, Khaw KS. Extension of epidural blockade in labour for emergency caesarean section using 2% lidocaine with epinephrine and fentanyl, with or without alkalinisation. Anaesthesia. 2001;56(8):790-4.
[4] Hamzei A, Basiri-Moghadam M, Pasban-Noghabi S. Effect of dexamethasone on incidence of headache after spinal anesthesia in cesarean section: A single blind randomized controlled trial. Saudi Med J. 2012;33(9):948- 53.
[5] Haghbin MA, Moosavi MR. Propranolol therapeutic effect on post spinal anesthesia headache. Armaghan-e- Danesh J. 2005;9(36):38-46. [Persian]
[6] Cramer BG, Stienstra R, Dahan A, Arbous MS, Veering BT, Van Kleef JW. Transient neurological symptoms with subarachnoid lidocaine: Effect of early mobilization. Eur J Anaesth. 2005;22(1):35-9.
[7] Miller RD, Pardo MC. Basic of anesthesia. 6th ed. Philadelphia: Churchill Livingstone Elsevier; 2011.
[8] Manson L, Edwards JE, Moore RA, McQuay HJ. Single dose oral naproxane for acute postoperative pain: A quantative systemic review. BMC Anesthesiol. 2003;3(1):4.
[9] Lois B. Decision making in anesthesia by algorithmic method. Yehaneh N, Roshani B, translators. Tehran: Jamee- Negar Publication; 2003. [Persian]
[10] Turnball DK, Shepherd DB. Post-dural puncture headache: Pathogenesis, prevention and treatment. Br J Anaesth. 2003;91(5):718-29.
[11] Sadeghi SE, Rahimiyan MN, Razmi R, Abdollahyfard Gh. Effect of intravenous single dose of aminophylline on prevention of post dural puncture headache in patients who underwent spinal anesthesia: Double blind randomized trial study. Gorgan Uni Med Sci J. 2010;12(3):24-8. [Persian]
[12] Munnur U, Suresh MS. Backache, headache and neurologic deficit after regional anesthesia. Anesthesiol Clin North Am. 2003;21(1):71-86.
[13]Brinbach DJ, Browne IM. Anesthesia for obstetrics. In: Miller RD, Eriksson LI, Fleisher LA, Wiener- Kronish JP, Young WL, editors. Anesthesia. 7th ed. Philadelphia: Churchill Livingstone Elsevier; 2010.
[14] Ghaleb A. Postdural puncture headache. Anesthesiol Res Prac. 2010;40:89-102.
[15] Tavakol K, Ghaffari P, Hassanzadeh A. Study of the effect of dexamethasone and normal saline in reducing headache after spinal anesthesia in cesarean section. Armaghan-e-Danesh J. 2007;12:87-94. [Persian]
[16] Choi PT, Galinski SE, Takeuchi L, Lucas S, Tamayo C, Jadad AR. PDPH is a common complication of neuraxial blockade in parturients: A meta-analysis of obstetrical studies. Can J Anaesth. 2003;50(5):460-9.
[17] Mohammadzadeh-Jouibari A, Haghighi M, Naderi-Nabi B. Incidence of post dural puncture headache in patients undergoing cesarean section in Alzahra hospital. Guilan Univ Med Sci J. 2004;12(48):40-4.
[18] Yoon-Hee K. Difficult back, turns into less difficult back by ultrasonography. Korean J Anesthesiol. 2011;61(5):355-7.
[19] Chohan U, Hamdani GA. Post dural puncture headache. J Pak Med Association. 2003;53(8):359-67.
[20] Ghaleb A, Khorasani A, Devanand M. Post-dural puncture headache. Int J Gen Med. 2012;5:45-51.
[21] Gosch UW, Hueppe M, Hallschmid M, Born J, Schmucker P, Meier T. Post-dural puncture headache in young adults: Comparison of two small-gauge spinal catheters with different needle design. Br J Anaesth. 2005;94(5):657-61.