Prevalência de Cefaleia pós Punção Dural em Pacientes Cirúrgicos: Uma comparação entre o uso de soro fisiológico e o soro glicosado
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Data
2022-12-01
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso fechado
Editora
Autores
Ariza Córdoba, Ulda Gabriela
Guimarães Pereira, Marianne
Orientador
Buffon, Alexandre
Coorientador
Cascaes, Franciele
Resumo
Introdução: A Cefaleia Pós-Punção de Dura Mater (CPPD) é uma complicação neurológica decorrente da anestesia peridural. A condição é caracterizada por cefaleia bilateral, principalmente na posição ortostática, que se irradia para pescoço e ombros, além de rigidez de nuca. Em relação à hidratação como prevenção ou tratamento da CPPD, são poucos os artigos que exploram esse assunto. Este estudo teve como objetivo investigar a prevalência de cefaleia pós-punção da dura-máter em pacientes cirúrgicos comparando o uso de soro fisiológico e soro glicosado.
Método: Trata-se de um estudo observacional transversal. Foram selecionados 410 prontuários das especialidades de ortopedia, obstetrícia e cirurgia geral de hospitais de referência da região Sul do Brasil, de março a junho de 2022. As variáveis analisadas foram ano, sexo, faixa etária, tipo de cirurgia, experiência do anestesiologista, tipo de anestésico, tipo de hidratação, classificação ASA (American Society of Anesthesiologists) e presença ou não de CPPD.
Resultados: Os pacientes foram divididos em grupo A (29 apresentavam CPPD) e grupo B (381 não apresentavam CPPD). No grupo A, em 28 pacientes foi utilizado soro fisiológico e em 1 paciente foi utilizado ringer lactato. Nenhum paciente recebeu soro glicosado. No grupo B, em 367 pacientes foi utilizado soro fisiológico, em 12 o Ringer Lactato e em apenas 1 o soro glicosado.
Conclusão: A amostra foi insatisfatória, não atingindo os resultados esperados. Não houve significância estatística entre hidratação e prevenção de CPPD. Sugere-se mais estudos para esclarecer o papel do soro glicosado na prevenção da CPPD.
Palavras-Chave: Cefaleia Pós Punção Dural, Hidratação Parenteral, Soro Fisiológico, Soro Glicosado
Background: Post-Dura Mater Puncture Headache (PDPH) is a neurological complication resulting from epidural anesthesia. The condition is characterized by bilateral headache, mainly in the orthostatic position, which irradiates to the neck and shoulders, in addition to neck stiffness. Regarding hydration as prevention or treatment of PDPH, there are few articles that explore this subject. This study aimed to investigate the prevalence of post-dural puncture headache in surgical patients comparing the use of saline and glucose solution. Method: This is a cross-sectional observational study. A total of 410 medical records from the specialties of orthopedics, obstetrics and general surgery were selected. The variables analyzed were year, gender, age, type of surgery, experience of the anesthesiologist, type of anesthetic, type of hydration, ASA classification (American Society of Anesthesiologists) and presence or absence of PDPH. Results: Patients were divided into group A (29 had PDPH) and group B (381 did not have PDPH). In group A saline solution was used in 28 patients; ringer lactate was used in 1 patient. No patient received glucose serum. In group B, saline solution was used in 367 patients, Ringer Lactate in 12 patients and glucose solution was used in only 1 patient. Conclusion: The sample was unsatisfactory, not reaching the expected results. There was no statistical significance between hydration and PDPH prevention. Further studies are suggested to clarify the role of glucose serum in the prevention of PDPH. Keywords: Post Dura Mater Puncture Headache, Fluid Therapy, Saline Solution, Glucose Solution
Background: Post-Dura Mater Puncture Headache (PDPH) is a neurological complication resulting from epidural anesthesia. The condition is characterized by bilateral headache, mainly in the orthostatic position, which irradiates to the neck and shoulders, in addition to neck stiffness. Regarding hydration as prevention or treatment of PDPH, there are few articles that explore this subject. This study aimed to investigate the prevalence of post-dural puncture headache in surgical patients comparing the use of saline and glucose solution. Method: This is a cross-sectional observational study. A total of 410 medical records from the specialties of orthopedics, obstetrics and general surgery were selected. The variables analyzed were year, gender, age, type of surgery, experience of the anesthesiologist, type of anesthetic, type of hydration, ASA classification (American Society of Anesthesiologists) and presence or absence of PDPH. Results: Patients were divided into group A (29 had PDPH) and group B (381 did not have PDPH). In group A saline solution was used in 28 patients; ringer lactate was used in 1 patient. No patient received glucose serum. In group B, saline solution was used in 367 patients, Ringer Lactate in 12 patients and glucose solution was used in only 1 patient. Conclusion: The sample was unsatisfactory, not reaching the expected results. There was no statistical significance between hydration and PDPH prevention. Further studies are suggested to clarify the role of glucose serum in the prevention of PDPH. Keywords: Post Dura Mater Puncture Headache, Fluid Therapy, Saline Solution, Glucose Solution
Palavras-chave
Cefaleia Pós Punção Dural, Hidratação Parenteral, Soro Fisiológico, Soro Glicosado