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Revista Cubana de Anestesiología y Reanimación
versión On-line ISSN 1726-6718
Resumen
ABREU BRIOSO, Gisell Lidia y 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 20-Jun-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.
Palabras clave : obstetric anesthesia; early ambulation; headache following dura mater puncture.