2005, Number 3
Incidencia de cefalea en bloqueo subaracnoideo en cesárea electiva experiencia de 100 casos
Centeno PJA, Delgado CMM, Alamilla RC, Trejo M JJ, Corella FJ, Peña OS
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Language: Spanish
References: 14
Page: 39-44
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ABSTRACT
Objective. The incidence of caesarean has been increased in the last years; this is accompanied by a decrease in perinatal mortality. The most common anesthetic techniques used, are the regional anesthetic techniques; the subarachnoid block is one of the less used methods, because of the fear of having headache after the puncture of the dura mater. Studies made using this anesthetic technique as well as fine needles with pencil tip have demonstrated a very low headache incidence. The objective of this study, it’s to know the headache incidence, after subarachnoid block in caesarean, to be able to use it of daily basis. Material and Methods. This study was done at the Regional Hospital “General Ignacio Zaragoza” in México City, with a population of 100 women ASA I-II, with normal pregnancy, that underwent regional subarachnoid block, using Whitacree needle number 27 with a pencil tip, and as a anesthetic agent hyperbaric bupivacaine at 5%, with a single dose of 10 mg; in search of headache after the Dura Mater puncture block. All patients that had an underlying disease or an anesthetic contraindication were excluded. Also were excluded patients whose surgical procedure was changed or the block failed. Results. In our study, made to a total of 100 patients, a subarachnoid block with a Whitacree needle No 27 was made, for elective caesarean, and in none of the cases there was headache after the puncture of the Dura Mater. Conclusions. The subarachnoid block with Whitacree needle number 27, can be done in caesarean, in patients with a normal pregnancy, without the risk of having headache after the puncture of the Dura Mater.REFERENCES