Document Detail

The prevention of headache following spinal anaesthesia.
MedLine Citation:
PMID:  7325577     Owner:  NLM     Status:  MEDLINE    
The efficacy of various methods in preventing headache following spinal anaesthesia was compared in 797 patients. The postspinal headache occurred in 17.8% of the patients in whom the lumbar puncture was done with a 22-gauge needle. The use of a 26-gauge needle reduced the occurrence of the headache to 7.8% (p less than 0.0125) and the administration of 100 mg of indomethacin six hours after the blockade to 10.3% (p less than 0.05) of the patients. The hydration, an infusion of 3000 ml of fluids during the operation day as compared to that of 1500 ml, did not prevent the headache, nor did the recumbency of 24 hours as compared to that of 8-16 hours, nor the prophylactic epidural blood patching. The headache occurred more often in young patients and in patients who had a history of repeating headache or migraine. In the patients with postspinal headache indomethacin relieved pain as effectively as a stronger analgesic-mixture. Other complaints occurring after the blockade were: pain in the lower back in 9.7% and pain in the lower extremities in 7.2% of the patients. The lithotomy position during the blockade predisposed the patients to these complications.
S Kaukinen; L Kaukinen; K Kannisto; M Kataja
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Annales chirurgiae et gynaecologiae     Volume:  70     ISSN:  0355-9521     ISO Abbreviation:  Ann Chir Gynaecol     Publication Date:  1981  
Date Detail:
Created Date:  1982-03-22     Completed Date:  1982-03-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7609767     Medline TA:  Ann Chir Gynaecol     Country:  FINLAND    
Other Details:
Languages:  eng     Pagination:  107-11     Citation Subset:  IM    
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MeSH Terms
Age Factors
Anesthesia, Spinal / adverse effects*
Headache / drug therapy,  etiology,  prevention & control*
Indomethacin / therapeutic use
Middle Aged
Reg. No./Substance:

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