Publication: Effect of Posture on Post Lumbar Puncture Headache after Spinal Anesthesia: A Prospective Randomized Study
Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Headache after lumbar puncture has long been attributed to early mobilization, and
hence prophylactic bed rest had been standard protocol to prevent spinal headache
after lumbar puncture. However, trend has been changing towards early mobilization
to no need of bed rest at all after lumbar puncture.
Objective
To study the influence of posture in the incidence of post lumbar puncture headache
in patients undergoing spinal anesthesia.
Method
In a prospective randomized study, patients undergoing various surgical procedures
under spinal anesthesia from February 2013 to January 2014 were included. They
were randomly allocated into two groups; group A, no restriction of position and
group B, 24 hours bed rest after spinal anesthesia. Two groups were compared with
regards to spinal anesthesia complications such as headache, backache, urinary
retention, nausea and vomiting.
Result
Total of 112 patients, 58 in group A and 54 in group B, were enrolled in the study.
The mean age was 40.13±17.4 years and male: female ratio was 2.5:1. Post spinal
headache was observed in 13(22.4%) patients in group A and 13 (24.0%) patients
in group B which was statistically not significant (p=0.755). Similarly, there was no
significant difference of headache score, and the incidence of other complications
like backache, nausea, vomiting and urinary retention between two groups.
Conclusion
There is no significant influence in the incidence of post lumbar puncture headache
by early mobilization after spinal anesthesia. Hence, prophylactic bed rest following
spinal anesthesia is of no benefit.
KEY WORDS
Post lumbar puncture headache, Posture, Spinal anesthesia
Description
KC HB,1 Pahari T2
1Department of Surgery
2Department of Anesthesia
Gandaki Medical College Teaching Hospital,
Pokhara, Nepal
Keywords
Post lumbar puncture headache, Posture, Spinal anesthesia