Examination of Postdural Puncture Headache Frequency, Predisposing Factors and Treatment

NCT ID: NCT06394024

Last Updated: 2024-09-19

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 400 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-11-01
• Study Completion Date: 2024-03-31

Brief Summary

Post-dural puncture headache (PDPH) is one of the most important complications of neuraxial blocks and lumbar interventions for cerebrospinal fluid (CSF) examination. It occurs due to tear in the dura mater and loss of cerebrospinal fluid (CSF) after intrathecal or epidural interventions.The incidence of PDPH depends on the thickness of the needle used and the type of tip. Headaches are more common with thick needles than with thin needles.In our study, postdural puncture headache in patients whose surgery was planned and spinal anesthesia was applied at Süleyman Demirel University faculty of medicine;frequency, predisposing factors, treatment intended to examine.

Detailed Description

Different anesthesia techniques are applied to patients undergoing surgery. These are general anesthesia and regional (Spinal, Epidural, peripheral nerve blocks, etc.) anesthesia applications. Today, regional anesthesia is the most frequently preferred anesthesia method by anesthesiologists due to its low side effects. Spinal anesthesia is the temporary stopping of nerve conduction with a local anesthetic solution injected into the cerebrospinal fluid. It is one of the most commonly used regional anesthesia techniques today.Important advantages of regional anesthesia include the patient's continued spontaneous breathing, preservation of oropharyngeal reflexes, continuation of analgesia in the postoperative period, early mobilization, and short hospital stay.Post-dural puncture headache (PDPH) is one of the most important complications of neuraxial blocks and lumbar interventions for cerebrospinal fluid (CSF) examination. The incidence of PDPH is significantly higher in young people than in the elderly, in women compared to men, and in pregnant women compared to the normal population.In our study, spinal anesthesia cases will be examined. Patients with headache will be identified. Patients' demographic data (age, height, body weight, gender, comorbidities), ASA (American Society of Anesthesiologists) score, operation type, presence of headache etiology, needle type and diameter used, number of interventions and procedures. level, amount of local anesthetic given, adjuvant drugs added, experience of the practitioner, amount of fluid given, date and time of headache onset, treatment and procedure complications will be monitored and recorded in the form.

Conditions

Postdural Puncture Headache

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

POSTDURAL PUNCTURE HEADHECHE

We don't use drug

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• >18 years
• ASA physical status class I, II and III
• BMI <40 kg/m²
• Patients undergoing spinal anesthesia

Exclusion Criteria

• ASA physical status class > III
• Severe cardiac, respiratory, hepatic, and renal disease
• Refusing spinal anesthesia
• History of local anesthetic allergy
• Localized infection at the injection site
• Coagulopathy
• Anticoagulant drugs usage
• History of chronic pain (migraine, sinusitis, etc.)
• Alcohol and opioid addiction
• Psychiatric diseases
• Communication difficulties
• Vertebral or chest wall abnormalities
• BMI > 40 kg/m²

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Mustafa Soner Ozcan

OTHER

Sponsor Role: lead

Responsible Party

Mustafa Soner Ozcan

medical doctor

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Mustafa Soner Mustafa Soner

Role: PRINCIPAL_INVESTIGATOR

Suleyman Demirel University

Locations

Suleyman Demirel University

Isparta, Isparta, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

İLK-10-124

Identifier Type: -

Identifier Source: org_study_id