A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache

Background: Post spinal anesthesia headache (PSAH) is a headache occurring after spinal anesthesia induction due to Dura and arachnoid puncture and has a significant effect on the patients’ post operative well being. Methods: We run a cross sectional descriptive study on patient under spinal anesth...

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Autores principales:	Ali Jabbari, Shabnam Tabasi, Nadia Bani Hashem, Alireza Jahangirifard
Formato:	article
Lenguaje:	EN
Publicado:	Tehran University of Medical Sciences 2021
Materias:	Post spinal anesthesia headache Spinal anesthesia Headache Prevention Treatment Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/c975c6aab8f54225b21ccb32f10a7c2e
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spelling	oai:doaj.org-article:c975c6aab8f54225b21ccb32f10a7c2e2021-11-20T04:39:39ZA Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache10.18502/aacc.v7i4.76322423-5849https://doaj.org/article/c975c6aab8f54225b21ccb32f10a7c2e2021-10-01T00:00:00Zhttps://aacc.tums.ac.ir/index.php/aacc/article/view/376https://doaj.org/toc/2423-5849 Background: Post spinal anesthesia headache (PSAH) is a headache occurring after spinal anesthesia induction due to Dura and arachnoid puncture and has a significant effect on the patients’ post operative well being. Methods: We run a cross sectional descriptive study on patient under spinal anesthesia that suffer from post spinal anesthesia headache parallel with a review on observational and experimental studies in the medical databases of PubMed, Scopus, Embase, Cochrane for preparing a strategy in prevention and treatment of post spinal anesthesia headache. Aim of this study was adapting different treatment method and prevention system of Post Spinal Anesthesia Headache (PSAH) according to our facilities base on our observation and experiences. Results: The overall incidence of post-Spinal Anesthesia headache has a very wide range. Its incidence obtained 17.3% by spinal needle 25G Quincke in our observation. Under hydration and tension headaches could be a factor influencing the incidence of PSAH. Intravenous administration of caffeine may be effective for prophylaxis of PSAH. Pregabalin has also been shown to alleviate PSAH. Drugs that have been used to treat PSAH include caffeine, NSAIDs, vasopressin, hydrocortisone, dexamethasone, theophylline, sumatriptan, gabapentin and adrenocorticotropic hormone (ACTH). Conclusion: A combination of keeping patients normovulemic during the spinal anesthesia induction and prophylaxis prescription of caffeine and Dexamethone before and; Aminophylline and NSAIDS after the procedure could have a main role in keeping and treatment of the patient from PSAH. Ali JabbariShabnam TabasiNadia Bani HashemAlireza JahangirifardTehran University of Medical SciencesarticlePost spinal anesthesia headacheSpinal anesthesiaHeadachePreventionTreatmentAnesthesiologyRD78.3-87.3Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENArchives of Anesthesia and Critical Care, Vol 7, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Post spinal anesthesia headache Spinal anesthesia Headache Prevention Treatment Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Post spinal anesthesia headache Spinal anesthesia Headache Prevention Treatment Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Ali Jabbari Shabnam Tabasi Nadia Bani Hashem Alireza Jahangirifard A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache
description	Background: Post spinal anesthesia headache (PSAH) is a headache occurring after spinal anesthesia induction due to Dura and arachnoid puncture and has a significant effect on the patients’ post operative well being. Methods: We run a cross sectional descriptive study on patient under spinal anesthesia that suffer from post spinal anesthesia headache parallel with a review on observational and experimental studies in the medical databases of PubMed, Scopus, Embase, Cochrane for preparing a strategy in prevention and treatment of post spinal anesthesia headache. Aim of this study was adapting different treatment method and prevention system of Post Spinal Anesthesia Headache (PSAH) according to our facilities base on our observation and experiences. Results: The overall incidence of post-Spinal Anesthesia headache has a very wide range. Its incidence obtained 17.3% by spinal needle 25G Quincke in our observation. Under hydration and tension headaches could be a factor influencing the incidence of PSAH. Intravenous administration of caffeine may be effective for prophylaxis of PSAH. Pregabalin has also been shown to alleviate PSAH. Drugs that have been used to treat PSAH include caffeine, NSAIDs, vasopressin, hydrocortisone, dexamethasone, theophylline, sumatriptan, gabapentin and adrenocorticotropic hormone (ACTH). Conclusion: A combination of keeping patients normovulemic during the spinal anesthesia induction and prophylaxis prescription of caffeine and Dexamethone before and; Aminophylline and NSAIDS after the procedure could have a main role in keeping and treatment of the patient from PSAH.
format	article
author	Ali Jabbari Shabnam Tabasi Nadia Bani Hashem Alireza Jahangirifard
author_facet	Ali Jabbari Shabnam Tabasi Nadia Bani Hashem Alireza Jahangirifard
author_sort	Ali Jabbari
title	A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache
title_short	A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache
title_full	A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache
title_fullStr	A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache
title_full_unstemmed	A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache
title_sort	narrative review on prevention and treatment strategies of post spinal anesthesia headache
publisher	Tehran University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/c975c6aab8f54225b21ccb32f10a7c2e
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A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache

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