post-dural puncture headache after spinal anesthesia. Spinal and epidural anesthesia-induced headache during the puerperium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists Physical status Classification I or II (ASA I or II status). Candidates for elective cesarean section surgery. Pregnant women between 18 to 45 years of age. Provision of written informed consent to participate in the study. Absence of absolute contraindication to spinal anesthesia.
Exclusion criteria
Exclusion criteria: High-risk or induced pregnancy Obesity (Body Mass Index or BMI greater than 38kg/m2) Presence of Thyroid disorders Presence of Type I or II Diabetes mellitus History of drug abuse or corticosteroid use Presence of Chronic or uncontrolled medical conditions Hypertension and Cardiovascular disease Fever exceeding 38 degrees Celsius History of Chronis headaches (e.g., Migraine) Absolute contraindication of spinal anesthesia Need for any change in anesthesia technique Occurrence of hemorrhage requiring blood transfusion Allergy to the study medications (Propofol or Dexamethasone)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Headache score. Timepoint: 1, 2, 24 hours and 2nd to 7th days after surgery. Method of measurement: Visual analog scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Systolic Blood Pressure. Timepoint: 1, 2, 24 hours after surgery. Method of measurement: Millimeter of mercury (sphygmomanometer).;Diastolic Blood Pressure. Timepoint: 1, 2, 24 hours after surgery. Method of measurement: Millimeter of mercury (sphygmomanometer).;Mean Arterial Pressure. Timepoint: 1, 2, 24 hours after surgery. Method of measurement: Millimeter of mercury (calculated via specific formula).;Heart rate. Timepoint: 1, 2, 24 hours after surgery. Method of measurement: Beats per minute (Pulse oximetry).;Peripheral Oxygen Saturation. Timepoint: 1, 2, 24 hours after surgery. Method of measurement: Percentage (Pulse oximetry). | — |
Countries
Iran (Islamic Republic of)
Contacts
Oroumia University of Medical Sciences