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Revista Cubana de Anestesiología y Reanimación

On-line version ISSN 1726-6718

Abstract

ABREU BRIOSO, Gisell Lidia  and  GUZMAN MARTINEZ, Juan Karel. Early ambulation and incidence of postdural puncture headache in an obstetric patient proposed for elective cesarean section. Rev cuba anestesiol reanim [online]. 2022, vol.21, n.2  Epub June 20, 2022. ISSN 1726-6718.

Introduction:

Postdural puncture headache is the most common complication following neuraxial anesthesia, and is especially common in obstetrics, a common finding in the postpartum period. It is usually a benign and self-limited complication, but if not treated, it can lead to further serious complications.

Objective:

To describe the incidence of postdural puncture headache in obstetric patients scheduled for elective cesarean section with spinal anesthesia and its relationship with early ambulation.

Methods:

A descriptive observational study was carried out in a case series (50) of patients proposed for elective cesarean section under the subarachnoid spinal anesthesia method with 25-gauge trocar in the period from May to December 2018.

Results:

Out of a total of 50 patients aged 18-35 years who participated in the study, 96 % underwent single dura mater puncture. In all cases, a 25-gauge trocar was used and none presented postdural puncture headache.

Conclusions:

The incidence of postdural puncture headache may be concluded to decrease when atraumatic spinal needles of small caliber are used, which also facilitates early ambulation of the patient.

Keywords : obstetric anesthesia; early ambulation; headache following dura mater puncture.

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