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ISSN 1561-3046 (Electronic)

2019, Number 2

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Rev Cub Med Mil 2019; 48 (2)

Early ambulation and post-dural puncture headache in patients undergoing spinal anesthesia

Guzmán MJK, Abreu BGL

Language: Spanish
References: 15
Page: 217-223
PDF size: 286.61 Kb.


ABSTRACT

Introduction: The history of spinal anesthesia, began on August 16, 1898, the first spinal anesthesia in history based one of the cornerstones of anesthesiology. More than a hundred years later and despite the technological development that accompanies the specialty, even regional anesthesia is a technique widely used worldwide, not free of complications, which highlights the dural post-puncture headache.
Objective: To describe the prevalence and characteristics of dural post-puncture headache in patients with ambulation, early or not, undergoing subarachnoid spinal anesthesia, for arthroscopic knee surgery.
Method: A descriptive observational study was conducted in a series of cases (100), attended at the Central Military Hospital "Carlos J. Finlay", which were divided into two groups. The group I formed by those who wandered at 4 hours after the intervention and group II wandered at 14 hours. In both groups, spinal anesthesia with atraumatic trocar of the Whitacre type was used.
Results: In both groups there were no reported cases of dural post-puncture headache.
Conclusions: There were no cases of dural post-puncture headache in patients with ambulation, early or not, undergoing subarachnoid spinal anesthesia for arthroscopic knee surgery.


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