Abstract
Spinal anesthesia provides excellent outcome for surgeries below the umbilicus like varicose veins surgery. Unfortunately, spinal anesthesia has complications such as Post Dural Puncture Headache (PDPH). Conservative treatments of PDPH include vasoconstrictors such as caffeine that found in coffee. The nurse observes patients for post spinal anesthesia complications especially Post Dural Puncture Headache (PDPH) and gives appropriate nursing interventions. Design: Quasi-experimental research design was used in this study. Aim: to determine effect of coffee consumption on the incidence of Post Dural Puncture Headache among patients receiving spinal anesthesia. Hypothesis of the study: Postoperative patients who consume coffee exhibit less incidence of Post Dural Puncture Headache than who donât consume it. Setting: The study was carried out in Main University Hospital, Alexandria. Egypt. Subjects: The sample of the study consisted of a convenience sample of 60 postoperative patients (had varicose veins surgery) received spinal anesthesia. They were divided randomly into 2 equal groups, control and study (coffee) groups. Tool: Postoperative Headache Assessment Sheet was used in order to collect data. It included four parts: Part I: Bio-socio demographic data, Part II: Headache diagnosis, Part III: Headache assessment items, and Part IV: Assessment of needing for analgesics. Results: The chief result in this study was that the incidence of PDPH is less in coffee group than in the control group with statistical significant differences between both groups (P= (0.001*, 0.020*, 0.020*, 0.038*) after 4 hours, first, second, and third days, respectively. Conclusion: The study hypothesis was accepted as incidence of Post Dural Puncture Headache is decreased in postoperative patients who consumed coffee than in those who donât consume it. Recommendation: Replicate this study among different samples (age, sex, diagnosis, type of operation).
Highlights
Spinal anesthesia provides excellent outcome for surgeries below the umbilicus like varicose veins surgery [1]
Spinal anesthesia has some complications as hemodynamic complications, bradycardia and Post Dural Puncture Headache (PDPH) [3]
The findings showed that all of the patients who experienced pain in both the study (Coffee) and control groups had dull intermittent headache
Summary
Spinal anesthesia provides excellent outcome for surgeries below the umbilicus like varicose veins surgery [1]. Spinal anesthesia is a simple, cost effective and efficient technique that provides complete sensory and motor block, as well as postoperative analgesia with a high success rate [2]. Spinal anesthesia has some complications as hemodynamic complications (hypotension), bradycardia and Post Dural Puncture Headache (PDPH) [3]. Post Dural Puncture Headache is usually bifrontal and occipital and is aggravated by head movement, upright posture and by straining. Nausea and vomiting are common symptoms accompanied with PDPH which may first be experienced several hours to days after the dural puncture. The exact mechanism of occurrence remains unclear. The most accepted mechanism of PDPH is cerebrospinal fluid (CSF) leakage that causing traction on cranial nerves and other pain sensitive structures. Dehydration, fasting, and possibly associated hypoglycemia, deprivation from intake of caffeine, anxiety, and immobilization leading to muscle tension could explain the occurrence of PDPH [5]
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