Incidence and Factors Associated with Postspinal Headache in Obstetric Mothers Who Underwent Spinal Anesthesia from a Tertiary Hospital in Western Uganda: A Prospective Cohort Study

CONCLUSIONS: The incidence of postspinal headache is still high as compared to the global range. This was significantly associated with needle design, amount of cerebro-spinal fluid lost, number of puncture attempts, body mass index, previous diagnosis with chronic headache, amount of intraoperative blood loss, time at start of ambulation, level of puncture entry, and class of analgesic prescribed. We recommend the use of a smaller gauge needle, preventing CSF loss, deliberate attempts to ensure successful puncture with fewer attempts, puncture attempts at L3-4, reducing intraoperative blood loss, earlier ambulation, and prescribing adequate analgesia to reduce the incidence of postspinal headache.PMID:37599669 | PMC:PMC10435309 | DOI:10.1155/2023/5522444

Source: Anesthesiology Research and Practice - August 21, 2023 Category: Anesthesiology Authors: Mohamud Jelle Osman Joy Muhumuza Yarine Fajardo Andrew Kwikiriza Baluku Asanairi Rogers Kajabwangu Marie Pascaline Sabine Ishimwe Theoneste Hakizimana Source Type: research