Post dural puncture headache. Other headache syndromes
Conditions
Interventions
Intervention 1: Intervention group: Group M (Modified regimen group) Patients in the modified regimen received the same protocol and drugs of the standard regimen as well as IV neostigmine 20 mcg/kg a
Sponsors
Combined Military Hospital Kharian, Pakistan
Eligibility
Sex/Gender
Female
Age
25 Years to 35 Years
Inclusion criteria
Inclusion criteria: Included all patients with post-dural puncture headache diagnosed according to the International Headache Society Criteria, presenting to the anesthesia clinic 48-72 hours after caesarian delivery.
Exclusion criteria
Exclusion criteria: Patients unwilling for IV or oral therapy Refusal to be included in the study Patients with allergy to either atropine, neostigmine, paracetamol and/or ibuprofen Patients with known history of migraine, cluster headache, patients on anti-depressants Patients with any neurological disease and patients with major respiratory and cardiac disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain on Visual Analog Scale. Timepoint: 6,12,24,48,72 hours after intervention. Method of measurement: Standard Visual Analog Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Nausea. Timepoint: Within 72 hours after intervention. Method of measurement: Patient history and observation in the wards.;Neck stiffness. Timepoint: Within 72 hours after intervention. Method of measurement: Physical examination.;Need for blood patch. Timepoint: Within 72 hours of intervention. Method of measurement: Non-responsive to standard IV treatment after 24 hours. | — |
Countries
Pakistan
Contacts
Public ContactDr Qaim Ali Bhatti
Combined Military Hospital Kharian
Outcome results
None listed