Year: 2025
Type: article
Study design: Observational Study
Abstract: Introduction: Post-Dural Puncture Headache (PDPH) is a common complication following spinal anesthetic procedures, impacting patient recovery and hospital resources. Its occurrence can be influenced by factors such as the type of needle, the number of puncture attempts, the patient's age, and gender. The objective of this research was to determine the incidence of post-dural puncture headache and associated factors in pregnant women undergoing lumbar puncture with Quincke 26-27G needles vs Whitacre 27G needles at the specialized health Clinic in 2024. Methodology: An observational cohort study was conducted by reviewing medical records of adult pregnant patients who underwent spinal anesthesia. Variables such as age, IMC, patient position during the procedure, use of local anesthetic, needle gauge and type, years of professional experience, and severity of PDPH were collected. Results: From the 108 patients analyzed who met the selection criteria, an incidence of post-dural puncture headache of 46.30% was found in pregnant women undergoing spinal anesthesia with Quincke needles. Most cases were resolved with conservative treatment. Conclusions: The incidence of CPPD in this sample was significant, various sociodemographic, clinical and technical factors were observed as possible risk factors. The use of atraumatic (Whitacre) needles and proper techniques are recommended to decrease incidence and improve the quality of anesthetic management.
Source: REVISTA UNIMETRO
Language: Spanish
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7219971171