Cefalea Post - Punción Incidencia asociada al Uso de Aguja Whitacre 22 y 25 en pacientes sometidas a Cesárea dentro del Hospital General de Tlalnepantla durante los años 2009 y 2010

Abstract

Locoregional puncture is a medical procedure that is undertaken with regional anesthesia, analgesia, diagnostic or therapeutic, post puncture headache is the most common complication, which can occur in up to 40% of patients (1) . It postpuncture headache is the most common complication associated with lumbar puncture, which occurs in about 40% of patients, defined as headache (feeling of fullness) fronto-occipital location, radiated neck and shoulders, is accompanied frequency of back pain. 99% occur within the first three days after the puncture up to 7 days after lumbar puncture and exacerbated with the standing position, which decreases at bedtime, being accompanied by neurosensory symptoms (1, 4, 6, 7) . It may resolve spontaneously after the first week and 48 hrs after blood patch (1). The headache usually occurs in the first few minutes when the patient stands up after dural puncture many patients complain of headache or back pain, these annoyances are rarer in children and adolescents (1,2). We determined the incidence of post-puncture headache using Whitacre needle 22 and 25 in patients undergoing cesarean section within the General Hospital Tlalnepantla "Valle Ceylon", during the period from January 1, 2009 to December 31, 2010 Within the present study were provided by the clinical file a total of 1648 patient records with Exit Dx postoperative ICD O82.0 Postpartum, in 2009 and 2010. Among the records were classified according to the type of anesthesia performed in obstetric surgical events for a total of 177 regional anesthesia type approach in a single dose spinal representing a total of 10.7%. Of the 177 patients with a single dose spinal approach in 153 patients was conducted spinal anesthesia with a single dose using 22-gauge Whitacre needle and 16-gauge Whitacre needle 25. 8 patients were removed from study CONCLUSIONS. In the present study, we demonstrated the low incidence of post puncture headache, occurring in less than that reported in the literature, but existing.