Post-dural puncture headache PDPH, pregnancy, women
Conditions
Interventions
Bed rest for 6 hour with administration of supplementary fluids.,Bed rest for 6 hour without administration of supplementary fluids.,Immediate mobilization with administration of supplementary fluids.
6BR-
F,6BR-
N,IM-
F,IM-
Sponsors
NoneFaculty of Medicine, Maharaj Nakorn Chiang Mai Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: - Patient age between 18 - 45 years old - American Society of Anesthesiologists (ASA) class I - II - Elective orthopedics surgery, general surgery, urological surgery and obstetric gynecological surgery which are able to perform under spinal anesthesia
Exclusion criteria
Exclusion criteria: - Contraindicated to spinal anesthesia: patient refuse, coagulopathy, skin infection at the site of spinal puncture, sepsis, CNS infection - Patients who had medical illness whose cannot tolerate to fluid supplementation such as congestive heart failure or pulmonary edema - Patients who had a history of chronic headache, chronic backache, PDPH, severe nausea or vomiting or backache after anesthesia or surgery - Renal failure or hepatic failure - Patients with neurological abnormalities such as increase intracranial pressure, CNS tumor, hydrocephalus - Patients who had a cognitive impairment or psychological impairment - Obstetric patients with complications such as pre-eclampsia, fetal distress - Emergency surgery - Allergy to local anesthetic drugs - Previous lumbar puncture or spinal anesthesia in the previous 4 weeks - Multiple lumbar punctures (more than 5 attempts) or repeated lumbar puncture - Severe bleeding (blood loss > 20% of blood volume)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of PDPH Every 12 hours for 5 consecutive days Assess the patient’s symptoms,Severity of PDPH Every 12 hours for 5 consecutive days Assess the parient’s symptoms,Characteristics of PDPH Every 12 hours for 5 consecutive days Assess the patient’s symptoms | — |
Secondary
| Measure | Time frame |
|---|---|
| Any types of headache Every 12 hours for 5 consecutive days Assess the patient’s symptoms,Incidence and severity of backache after surgery Every 12 hours for 5 consecutive days Assess the patient’s symptoms,Nausea and vomitting Every 12 hours for 5 consecutive days Assess the patient’s symptoms,Risk factors associated to the occurrence of headache after dural puncture 5 days after surgery Statistical analysis,Adverse event(s) related to study interventions Every 12 hours for 5 consecutive days Record the event(s) during the study | — |
Countries
Thailand
Contacts
Public ContactArtid Samerchua
University hospital
Outcome results
None listed