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Factors associated with post dural puncture headache among patients who underwent neuro axial anesthesia at FEU-NRMF Medical Center experience from January 2014 to December 2014 : a retrospective, cohort study / Jason A. Dacanay.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2016.Description: 35 pages: illustrations, tables; (in folder)Content type:
  • rdacontent
Media type:
  • rdamedia
Carrier type:
  • rdacarrier
LOC classification:
  • ANES 2016 0007
Summary: Abstract: The main factors influencing the incidence of PDPH can be categorized as, characteristics of patient population; characteristics of needle used and puncture technique. The identification of patient related factors that can lead to higher incidence of PDPH during preoperative evaluation, the anesthesiologist skill and deeper understanding of PDPH is of great importance to minimize the morbidity of PDPH. This is a retrospective cohort study of 480 subjects that under went neuro axial anesthesia using Quincke gauge 23 and 25 for spinal anesthesia and Tuohy needle gauge 18 for epidural anesthesia from January 2014 to December 2014. Out of 480 subjects only 0.625% (n=3) experienced PDPH. Among those patients related factors included in this study that may influence the incidence of PDPH. Only BMI showed significant association with PDPH as proven by the p value of <0.001. Significant more proportion of subjects with BMI of 18.5 had PDPH with 2 (9.1%) while those with normal BMI only 1 (0.3%) had PDPH. Specifically, for Qincke gauge 23 and Tuohy gauge 18, BMI was significant associated with PDPH with p value 0.002 and <0.001 receptively. Greater than or equal to 3 attempts made using Quincke gauge 23 during spinal anesthesia, paramedian puncture technique and accidental dural puncture using epidural Tuohy needle gauge 18 were anesthesia related factors identified that showed significant association with PDPH with a p value of 0.005, 0.04 and <0.001 respectively. On the average, PDPH was developed after 52 hours.
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Item type Current library Call number Status Date due Barcode
Room Use Far Eastern University - Nicanor Reyes Medical Foundation Research ANES 2016 0007 (Browse shelf(Opens below)) Available R000586
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ANES 2016 0004 Inhalational injury in a gravid patient : overcoming difficulties in airway management using modern techniques in visualization / ANES 2016 0005 Anesthetic considerations during general anesthesia in patient with dwarfism : a case report / ANES 2016 0006 Anesthetic management of a pregnant patient diagnosed with tarlov cyst / ANES 2016 0007 Factors associated with post dural puncture headache among patients who underwent neuro axial anesthesia at FEU-NRMF Medical Center experience from January 2014 to December 2014 : a retrospective, cohort study / ANES 2017 0001 A Case report on a difficult airway management in a patient with a fixed, laterally-flexed neck under general anesthesia / ANES 2017 0002 Failure of lung isolation by double-lumen endotracheal tube rescued by the concomitant use of single lumen tube internal diameter endotracheal tube 8.0mm and insertion of EZ-blocker guided by a bronchoscope for successful one lung isolation / ANES 2017 0003 Perioperative bradycardia and asystole in a 50 year old athletic female who underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy under continuous lumbar epidural anesthesia /

Includes appendices and bibliographical references.

Abstract: The main factors influencing the incidence of PDPH can be categorized as, characteristics of patient population; characteristics of needle used and puncture technique. The identification of patient related factors that can lead to higher incidence of PDPH during preoperative evaluation, the anesthesiologist skill and deeper understanding of PDPH is of great importance to minimize the morbidity of PDPH. This is a retrospective cohort study of 480 subjects that under went neuro axial anesthesia using Quincke gauge 23 and 25 for spinal anesthesia and Tuohy needle gauge 18 for epidural anesthesia from January 2014 to December 2014. Out of 480 subjects only 0.625% (n=3) experienced PDPH. Among those patients related factors included in this study that may influence the incidence of PDPH. Only BMI showed significant association with PDPH as proven by the p value of <0.001. Significant more proportion of subjects with BMI of 18.5 had PDPH with 2 (9.1%) while those with normal BMI only 1 (0.3%) had PDPH. Specifically, for Qincke gauge 23 and Tuohy gauge 18, BMI was significant associated with PDPH with p value 0.002 and <0.001 receptively. Greater than or equal to 3 attempts made using Quincke gauge 23 during spinal anesthesia, paramedian puncture technique and accidental dural puncture using epidural Tuohy needle gauge 18 were anesthesia related factors identified that showed significant association with PDPH with a p value of 0.005, 0.04 and <0.001 respectively. On the average, PDPH was developed after 52 hours.

Research - Department of Anesthesiology

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