Caracterización clínica de la cefalea pospunción dural en obstetricia. Hospital José Carrasco Arteaga. Cuenca. 2019

Abstract

Introduction: Post-dural puncture headache is a common complication, there are studies that have described risk factors which, if they can be identified, serve to reduce this adverse event. Objective: To determine the characteristics of post-dural puncture headache after anesthesia in obstetric procedures at the José Carrasco Arteaga Hospital in the city of Cuenca Ecuador in 2019. Methodology: Descriptive, retrospective study, the data were obtained from the AS400 system of the José Carrasco Arteaga Hospital in the city of Cuenca, using a form, the data was analyzed using descriptive statistics and tables using the SPSS version 22 software. Results: An incidence of 1.88% was obtained during 2019 in obstetric patients who had spinal anesthesia. On average: it started in 62.25 hours, lasted 18 hours, with an intensity of 5.75, located in the occipital area, accompanied by tinnitus. Conservative treatment with paracetamol and corticosteroids was used, there were no patients with interventional treatment. Conclusions: The incidence of post-dural puncture headache has decreased. The clinical characteristics of the headache coincided with the data from other studies, there was no need to use interventional treatment.