<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572019000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Deambulación precoz y cefalea pospunción dural en pacientes intervenidos bajo anestesia espinal subaracnoidea]]></article-title>
<article-title xml:lang="en"><![CDATA[Early ambulation and post-dural puncture headache in patients undergoing spinal anesthesia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán Martínez]]></surname>
<given-names><![CDATA[Juan Karel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abreu Brioso]]></surname>
<given-names><![CDATA[Gisell Lidia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central "Dr. Carlos J. Finlay"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>48</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572019000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572019000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572019000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La historia de la raquianestesia, comenzó el 16 de agosto de 1898, la primera anestesia raquídea de la historia cimentó una de las piedras angulares de la Anestesiología. Más de cien años después y a pesar del desarrollo tecnológico que acompaña la especialidad, aún la anestesia regional es una técnica ampliamente utilizada a nivel mundial, no exenta de complicaciones, donde se destaca la cefalea pospunción dural.  Objetivo:  Describir la prevalencia y características de la cefalea pospunción dural en pacientes con deambulación, precoz o no, intervenidos bajo anestesia espinal subaracnoidea, para cirugía artroscópica de rodilla.  Método: Se realizó un estudio observacional descriptivo en una serie de casos (100), atendidos en el Hospital Militar Central "Carlos J. Finlay", que fueron distribuidos en dos grupos. El grupo I formado por los que deambularon a las 4 horas de la intervención y el grupo II deambuló a las 14 horas. En ambos grupos se había utilizado anestesia raquídea con trocar 25 atraumático del tipo Whitacre.  Resultados:  En ambos grupos no se reportaron casos de cefalea pospunción dural.  Conclusiones:  No hubo casos de cefalea pospunción dural en pacientes con deambulación, precoz o no, intervenidos bajo anestesia espinal subaracnoidea para cirugía artroscópica de rodilla.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The history of spinal anesthesia, began on August 16, 1898, the first spinal anesthesia in history based one of the cornerstones of anesthesiology. More than a hundred years later and despite the technological development that accompanies the specialty, even regional anesthesia is a technique widely used worldwide, not free of complications, which highlights the dural post-puncture headache.  Objective:  To describe the prevalence and characteristics of dural post-puncture headache in patients with ambulation, early or not, undergoing subarachnoid spinal anesthesia, for arthroscopic knee surgery.  Method:  A descriptive observational study was conducted in a series of cases (100), attended at the Central Military Hospital "Carlos J. Finlay", which were divided into two groups. The group I formed by those who wandered at 4 hours after the intervention and group II wandered at 14 hours. In both groups, spinal anesthesia with atraumatic trocar of the Whitacre type was used.  Results:  In both groups there were no reported cases of dural post-puncture headache.  Conclusions:  There were no cases of dural post-puncture headache in patients with ambulation, early or not, undergoing subarachnoid spinal anesthesia for arthroscopic knee surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cefalea]]></kwd>
<kwd lng="es"><![CDATA[anestesia espinal]]></kwd>
<kwd lng="es"><![CDATA[líquido céfalo raquídeo]]></kwd>
<kwd lng="es"><![CDATA[cefalea pospunción]]></kwd>
<kwd lng="en"><![CDATA[headache spinal anesthesia]]></kwd>
<kwd lng="en"><![CDATA[cerebrospinal fluid]]></kwd>
<kwd lng="en"><![CDATA[post-puncture headache]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bier]]></surname>
<given-names><![CDATA[AKG]]></given-names>
</name>
<name>
<surname><![CDATA[Von Esmarch]]></surname>
<given-names><![CDATA[JFA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Versuche uber cocainisiring des ruckenmarkes]]></article-title>
<source><![CDATA[Dtsch Z Chir]]></source>
<year>1899</year>
<volume>51</volume>
<page-range>361-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kwak]]></surname>
<given-names><![CDATA[KH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postdural puncture headache]]></article-title>
<source><![CDATA[Korean J Anesthesiol]]></source>
<year>2017</year>
<volume>70</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>136-43</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[RW]]></given-names>
</name>
<name>
<surname><![CDATA[Armon]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Frohman]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Gooding]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment: Prevention of post-lumbar puncture headaches. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology]]></article-title>
<source><![CDATA[Neurology]]></source>
<year>2000</year>
<volume>55</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>909-14</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bertolotto]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Malentacchi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Capobianco]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[di Sapio]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Malucchi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Motuzova]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The use of the 25 Sprotte needle markedly reduces post-dural puncture headache in routine neurological practice]]></article-title>
<source><![CDATA[Cephalalgia]]></source>
<year>2015</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>131-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arevalo-Rodriguez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Ciapponi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Roqué i Figuls]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bonfill Cosp]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Posture and fluids for preventing post-dural puncture headache]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zorrila Vaca]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kaur Makkar]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effectiveness of lateral decubitus position for preventing post-dural puncture headache: a meta-analysis]]></article-title>
<source><![CDATA[Pain Physician]]></source>
<year>2017</year>
<volume>20</volume>
<page-range>E521-2</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hampl]]></surname>
<given-names><![CDATA[KF]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Ummenhofer]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Drewe]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transient neurologic symptoms after spinal anesthesia]]></article-title>
<source><![CDATA[Anesthesia &amp; Analgesia]]></source>
<year>1995</year>
<volume>81</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1148-53</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lavi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rowe]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Avivi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lumbar puncture: It is time to change the needle]]></article-title>
<source><![CDATA[Eur Neurol]]></source>
<year>2010</year>
<volume>64</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>108-13</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ning]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lower incidence of postdural puncture headache using whitacre spinal needles after spinal anesthesia A meta-analysis]]></article-title>
<source><![CDATA[The Journal of Head and Face Pain]]></source>
<year>2016</year>
<volume>56</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>501-10</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Kan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of cutting and pencil-point spinal needle in spinal anesthesia regarding postdural puncture headache: A meta-analysis]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2017</year>
<volume>96</volume>
<numero>14</numero>
<issue>14</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castrillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tabernero]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[García-Olmos]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Zamora]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postdural puncture headache impact of needle type, a randomized trial]]></article-title>
<source><![CDATA[The Spine Journal]]></source>
<year>2015</year>
<volume>15</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1571-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Rowlingson]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Michaels]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
<name>
<surname><![CDATA[Courpas]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Joe]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gender and post-dural puncture headache]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>2006</year>
<volume>105</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>613-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilming]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
<name>
<surname><![CDATA[Kloster]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sandvik]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The importance of sex, age, needle size, height and body mass index in post-lumbar puncture headache]]></article-title>
<source><![CDATA[Cephalalgia]]></source>
<year>2001</year>
<volume>21</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>738-43</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amorim]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post-dural (post-lumbar) puncture headache Risk factors and clinical features]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Gomes de Barros]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Valença]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<source><![CDATA[Cephalalgia]]></source>
<year>2012</year>
<volume>32</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>916-23</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bezov]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lipton]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Ashina]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post-Dural Puncture Headache Part I Diagnosis, Epidemiology, Etiology, and Pathophysiology]]></article-title>
<source><![CDATA[Headache]]></source>
<year>2013</year>
<volume>50</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1144-52</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
