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Khirurgii

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Year 2010 Vol. 18 No 2

ANESTHESIOLOGY-REANIMATOLOGY

GAPANOVICH S.V., KONONKOV V.V.

HEADACHE PROPHYLAXIS AND TREATMENT IN PATIENTS AFTER THE CAESAREAN SECTION UNDER THE SPINAL ANESTHESIA

The incidence of the post-puncture headaches after the Caesarean section under the spinal anesthesia is determined on the basis of the retrospective analysis of 436 delivery case histories. The point estimation of frequency, duration and intensity of headaches was performed depending on the design and diameter of the puncture needles. The connection between the diameter of the needle and the frequency of headaches was established. The scheme of the rational perioperative observations of patients to prevent headaches and some other anesthesiology complications is described. To stop headaches one used the methods with intravenous injection of distilled water and the combination of volumetric load with crystalloids together with the injection of non-narcotic analgesics. The comparative characteristic of these methods efficacy is given.

Keywords: Caesarean section, post-puncture headache, spinal anesthesia, puncture needles
p. 104-108 of the original issue
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