Impact of obesity on post-dural puncture headache

Jing Song, T. Zhang, A. Choy, A. Penaco, Vilma A. Joseph

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Previous studies have suggested an inverse relationship between obesity and development of dural puncture headache following spinal anesthesia. However, few have investigated the relationship between obesity and headaches after accidental dural puncture with an epidural needle. This study explored whether obesity has any association with headaches following an accidental dural puncture. Methods: Records of patients who received epidural analgesia for labor and vaginal delivery between January 2011 and June 2015 were reviewed. Body mass index, American Society of Anesthesiologists Physical Status and age were analyzed. Chi-squared analysis was performed to determine the relationship between the incidence and severity of dural puncture headaches with body mass index. Results: A total of 17. 497 epidurals were placed for vaginal deliveries. Of these 164 patients met our criteria for accidental dural puncture, of whom 51.2% developed dural puncture headaches. Of patients who developed a dural puncture headache 35.7% required an epidural blood patch. Data analysis showed no significant difference between body mass index and incidence of dural puncture headaches regardless of body mass index classification (P>0.05). There was no association between body mass index and the intensity of dural puncture headaches (P=0.29). Conclusion: Patients with a high body mass index do not appear to be protected from experiencing a dural puncture headache after an accidental dural puncture during placement of labor epidural analgesia. Additionally, the intensity of dural puncture headaches does not vary with body mass index.

Original languageEnglish (US)
JournalInternational Journal of Obstetric Anesthesia
DOIs
StateAccepted/In press - 2016

Fingerprint

Post-Dural Puncture Headache
Punctures
Obesity
Headache
Body Mass Index
Epidural Analgesia
Epidural Blood Patch
Spinal Anesthesia
Incidence
Needles

Keywords

  • Accidental dural puncture
  • Analgesia, epidural
  • Body mass index
  • Post-dural puncture headache

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Anesthesiology and Pain Medicine

Cite this

Impact of obesity on post-dural puncture headache. / Song, Jing; Zhang, T.; Choy, A.; Penaco, A.; Joseph, Vilma A.

In: International Journal of Obstetric Anesthesia, 2016.

Research output: Contribution to journalArticle

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abstract = "Introduction: Previous studies have suggested an inverse relationship between obesity and development of dural puncture headache following spinal anesthesia. However, few have investigated the relationship between obesity and headaches after accidental dural puncture with an epidural needle. This study explored whether obesity has any association with headaches following an accidental dural puncture. Methods: Records of patients who received epidural analgesia for labor and vaginal delivery between January 2011 and June 2015 were reviewed. Body mass index, American Society of Anesthesiologists Physical Status and age were analyzed. Chi-squared analysis was performed to determine the relationship between the incidence and severity of dural puncture headaches with body mass index. Results: A total of 17. 497 epidurals were placed for vaginal deliveries. Of these 164 patients met our criteria for accidental dural puncture, of whom 51.2{\%} developed dural puncture headaches. Of patients who developed a dural puncture headache 35.7{\%} required an epidural blood patch. Data analysis showed no significant difference between body mass index and incidence of dural puncture headaches regardless of body mass index classification (P>0.05). There was no association between body mass index and the intensity of dural puncture headaches (P=0.29). Conclusion: Patients with a high body mass index do not appear to be protected from experiencing a dural puncture headache after an accidental dural puncture during placement of labor epidural analgesia. Additionally, the intensity of dural puncture headaches does not vary with body mass index.",
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AU - Choy, A.

AU - Penaco, A.

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N2 - Introduction: Previous studies have suggested an inverse relationship between obesity and development of dural puncture headache following spinal anesthesia. However, few have investigated the relationship between obesity and headaches after accidental dural puncture with an epidural needle. This study explored whether obesity has any association with headaches following an accidental dural puncture. Methods: Records of patients who received epidural analgesia for labor and vaginal delivery between January 2011 and June 2015 were reviewed. Body mass index, American Society of Anesthesiologists Physical Status and age were analyzed. Chi-squared analysis was performed to determine the relationship between the incidence and severity of dural puncture headaches with body mass index. Results: A total of 17. 497 epidurals were placed for vaginal deliveries. Of these 164 patients met our criteria for accidental dural puncture, of whom 51.2% developed dural puncture headaches. Of patients who developed a dural puncture headache 35.7% required an epidural blood patch. Data analysis showed no significant difference between body mass index and incidence of dural puncture headaches regardless of body mass index classification (P>0.05). There was no association between body mass index and the intensity of dural puncture headaches (P=0.29). Conclusion: Patients with a high body mass index do not appear to be protected from experiencing a dural puncture headache after an accidental dural puncture during placement of labor epidural analgesia. Additionally, the intensity of dural puncture headaches does not vary with body mass index.

AB - Introduction: Previous studies have suggested an inverse relationship between obesity and development of dural puncture headache following spinal anesthesia. However, few have investigated the relationship between obesity and headaches after accidental dural puncture with an epidural needle. This study explored whether obesity has any association with headaches following an accidental dural puncture. Methods: Records of patients who received epidural analgesia for labor and vaginal delivery between January 2011 and June 2015 were reviewed. Body mass index, American Society of Anesthesiologists Physical Status and age were analyzed. Chi-squared analysis was performed to determine the relationship between the incidence and severity of dural puncture headaches with body mass index. Results: A total of 17. 497 epidurals were placed for vaginal deliveries. Of these 164 patients met our criteria for accidental dural puncture, of whom 51.2% developed dural puncture headaches. Of patients who developed a dural puncture headache 35.7% required an epidural blood patch. Data analysis showed no significant difference between body mass index and incidence of dural puncture headaches regardless of body mass index classification (P>0.05). There was no association between body mass index and the intensity of dural puncture headaches (P=0.29). Conclusion: Patients with a high body mass index do not appear to be protected from experiencing a dural puncture headache after an accidental dural puncture during placement of labor epidural analgesia. Additionally, the intensity of dural puncture headaches does not vary with body mass index.

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