HEADACHES AFTER SPINAL ANESTHESIA AS A PROBLEM OF THE UROLOGY CLINIC
Article published in Urologia Polska 1997/50/2.

authors

Barbara Darewicz, Janusz Darewicz, Anna Borucka, Jacek Kudelski, Jerzy Badyda

Klinika Urologii Akademii Medycznej w Białymstoku
Kierownik Kliniki: prof. dr hab. med. J. Darewicz
Zakład Anestezjologii i Intensywnej Terapii
Kierownik Zakładu: doc. dr med. L Malinowska

keywords

spinal anesthesia ? headaches ? treatment

summary

Objective. The aim of the work were reason's analysis, prophylactic manner and

treatment of severe headaches, one of the complications of the spinal anesthesia.

Material and method. 1924 patients including 1321 males and 603 females, age 20

to 80 years old were analysed. Spinal anesthesia were performed using 20, 22 and 25G

needles, into the L3- L4 and L4-L5 spinal space. Anesthetic agents were 2 ml of the 5%

lignocainum solution or 3 ml of the 0,5% bipiwacainum solution with 1 ml 20% glucose.

Results. In 68 of them (3,53%) severe headaches were present. It was found that

they were correlated with size of the needle, patienfs age and in a less degree with

patients sex.

We obtained in the treatment very good results, using 5% glucose and 0,9%

physiological saline solutions intravenously.

Conclusions. Authors belive that in the headaches prophylactic decrease of the needle

diameter to 25-27G and staying in bed in a horizontal position for 24 hours after surgery

are important.

references