Occurrence of Headache with and without Pillow Cushion in Supine Position after Spinal Anesthesia

  • D Maharjan Department of Anesthesiology, Kathmandu Model Hospital, Kathmandu, Nepal

Abstract

Aims: This study was designed to define the role of position in the occurrence of postdural puncture headache (PDPH) after spinal anesthesia.


Methods: This is a comparative study of 69 patients in each group with pillow cushion and without during spinal anesthesia in supine position for the patients scheduled for low abdominal and pelvic surgeries.


Results: Patients in both groups experienced headache (but not PDPH) after surgery with slightly higher (n=13, 18.84%) rate in strict supine position than with head rest using a pillow cushion (n=11, 15.94%). This was not statistically significant (p=0.65).


Conclusions: Supine position with a pillow cushion in the immediate post-spinal period caused a non-significant decrease in the incidence of headache and a significant increase in comfort. This study could not conclude whether a pillow cushion affects the occurrence of PDPH as there were no cases of PDPH in either group.


Keywords: post-dural puncture headache; spinal anesthesia; supine; pillow cushion


DOI: http://dx.doi.org/10.3126/njog.v12i1.18983

Published
Feb 1, 2018
How to Cite
MAHARJAN, D. Occurrence of Headache with and without Pillow Cushion in Supine Position after Spinal Anesthesia. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 12, n. 1, p. 55-58, feb. 2018. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/871>. Date accessed: 19 aug. 2018.
Section
Original Articles