TY - JOUR T1 - Effect of Intrathecal Injection Speed on Post-Dural Puncture Headache in Parturients Undergoing Cesarean Section: A Prospective, Randomized Study TT - Sezaryen Geçiren Hastalarda İntratekal Enjeksiyon Hızının Post-Dural Ponksiyon Baş Ağrısı Üzerine Etkisi: Prospektif, Randomize Çalışma AU - Sargın, Mehmet AU - Kartekin, Ali AU - Aydoğan, Eyüp AU - Tutar, Sami AU - Akın, Fatma AU - Özmen, Sadık PY - 2019 DA - April Y2 - 2019 JF - Journal of Cukurova Anesthesia and Surgical Sciences JO - J Cukurova Anesth Surg PB - Merthan TUNAY WT - DergiPark SN - 2667-498X SP - 40 EP - 45 VL - 2 IS - 1 LA - en AB - Aim: In this study, it was aimed toevaluate the effect of intrathecal injection rate on post- dural punctureheadache (PDPH) in cesarean patients.Material and Methods: 140 patientsbetween 18-45 years of age who were scheduled for caesarean section with spinalanesthesia were randomly divided into two groups. From the L4-L5 level in thesitting position, 10 mg hyperbaric 0.5% bupivacaine with a 25 G Quincke spinalneedle, median inlet; Intrathecal injection was performed as quickly aspossible in the patients in Group I and administered to patients in Group II byintrathecal injection in 40 seconds. Hemodynamic data, ephedrine use andfrequency of nausea and vomiting were recorded intraoperatively. 7 days afterthe procedure, the patients were called by phone and questioned for PDPH. TheICHD-III criteria were used to question the PDPH.Results: There was no significantdifference 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 betweenthe groups when haemodynamic data, ephedrine usage, nausea and vomitingfrequency were compared (p> 0.05).Conclusion: In the cases of cesareansection with spinal anesthesia, hyperbaric bupivacaine is given to theintrathecal area at different rates; We conclude that PDPH frequency andseverity do not affect haemodynamic parameters, ephedrine requirement andfrequency of nausea and vomiting. KW - Spinal anesthesia KW - post-dural puncture headache KW - cesarean section N2 - Amaç: Bu çalışmada sezaryen geçirenhastalarda intratekal enjeksiyon hızının post-dural ponksiyon baş ağrısı(PDPBA) üzerine etkisinin değerlendirilmesi amaçlanmıştır. Materyal ve Metot: Spinal anestezi ilesezaryen operasyonu planlanan 18-45 yaş arasında 140 hasta randomize olarak 2gruba ayrılmıştır. Oturur pozisyonda L4-L5 seviyesinden, median girişle, 25G Quincke spinal iğne ile 10 mg hiperbarik0.5% bupivakaine; Grup I’deki hastalara intratekal enjeksiyon olabildiğincehızlı bir şekilde uygulandı ve Grup II’deki hastalara intratekal enjeksiyon ile40 sn içinde uygulandı. İntraoperatif dönemde hemodinamik verileri, efedrinkullanımı ve bulantı-kusma sıklığı kaydedildi. İşlem tarihinden 7 gün sonrahastalar telefon ile aranıp PDPBA yönünden sorgulandı. PDPBA’nınsorgulanmasında ICHD-III kriterleri kullanıldı.Bulgular: Gruplar arasındakarşılaştırmada PDPBA insidansı (Grup I: %29.0 ve Grup II: %31.4) ve şiddetiaçısından anlamlı bir fark bulunamamıştır (p>0.05). Hemodinamik veriler,efedrin kullanımı, bulantı kusma görülme sıklığı karşılaştırıldığında gruplararasında anlamlı bir fark gözlenmemiştir (p>0.05).Sonuç: Spinal anestezi ile sezaryengeçiren gebelerde, hiperbarik bupivakainin intratekal alana farklı hızlardaverilmesinin; PDPBA sıklığını ve şiddetini, hemodinamik parametreleri, efedringereksinimi ve bulantı kusma sıklığını etkilemediği kanaatindeyiz. CR - Shaikh JM, Memon A, Memon MA, et al. Post dural puncture headache after spinal anaesthesia for caesarean section: a comparison of 25 g Quincke, 27 g Quincke and 27 g Whitacre spinal needles. J Ayub Med Coll Abbottabad. 2008;20(3):10-3. CR - Alstadhaug KB, Odeh F, Baloch FK, et al. Post-lumbar puncture headache. Tidsskr Nor Laegeforen. 2012;132(7):818-21. CR - Stendell L, Fomsgaard JS, Olsen KS. There is room for improvement in the prevention and treatment of headache after lumbar puncture. Dan Med J. 2012;59(7):A4483. CR - Imarengiaye CO, Edomwonyi NP. 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