The Effect of Fluid Therapy Before Spinal Anesthesia on Prevention of Headache After Cesarean Section: A Clinical Trial.

Kiana Babaei,Alireza Ghodsi,Nastran Sadeghi,Seyedeh Masoumeh Saadati,Najmeh Nikoo,Mostafa Khaleghipoor

doi:10.7759/cureus.11772

Kiana Babaei, Alireza Ghodsi + Show 4 more

Open Access

https://doi.org/10.7759/cureus.11772

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Journal: Cureus	Publication Date: Nov 29, 2020
Citations: 1	License type: cc-by

Affiliation: Hakim Sabzevari University, University of Neyshabur

Abstract

Background: Despite numerous studies on postdural puncture headache (PDPH) and the factors affecting it, issues such as prevention methods and techniques that are associated with a lower prevalence of this complication are still under discussion and research.The aim of this study was to evaluate the effect of increasing fluid therapy of patients before surgery on the incidence of postoperative headache.Methods: This single-blind clinical trial study was performed on 60 patients undergoing elective surgery with spinal anesthesia based on the inclusion criteria in 2017 in Neyshabur. After obtaining the consent of the patients, the participants were randomly divided into two groups of intervention (A) and test (B) (30 people in each group). Data were created by self-checklist and visual analog scale (VAS) pain measurement criteria were recorded by phone during 4, 7, 24, 48, 72 hours, and 7 days after surgery.Results: In the study, the average headache increased up to 72 hours after surgery in the experimental group and in the intervention group up to 48 hours after surgery and then decreased.Conclusion: The results of our study generally showed that fluid therapy did not reduce headache, but showed decreasing trend of headache. According to the research results, more research is needed on the causes of headache after spinal anesthesia.

Highlights

One of the most common methods for cesarean section is spinal anesthesia and performing this technique as the best method of anesthesia to prevent maternal and fetal complications is increasing [1,2]
The values of other demographic variables are shown in Table 1. t-test for independent samples showed that there was no significant difference in terms of age, body mass index (BMI), length of operation, and heart rate between the intervention and case groups (p > 0.05)
Postdural puncture headache can increase the workload of physicians, patients' hospital stay, and treatment costs

Summary

Introduction

One of the most common methods for cesarean section is spinal anesthesia and performing this technique as the best method of anesthesia to prevent maternal and fetal complications is increasing [1,2]. PDPH is a characteristic of the anterior and occipital region (back of the head) and may be accompanied by nausea and vomiting, auditory and visual symptoms, diffuse neck pain, and stiff neck This type of headache is related to the patient's positioning so that it is intensified in the vertical position (sitting) and is relieved when resting [7]. Despite numerous studies on PDPH and the factors affecting it, issues such as prevention methods and techniques that are associated with lower prevalence of this complication are still under discussion and research. Despite numerous studies on postdural puncture headache (PDPH) and the factors affecting it, issues such as prevention methods and techniques that are associated with a lower prevalence of this complication are still under discussion and research.

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