PTU - Polskie Towarzystwo Urologiczne
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Article published in Urologia Polska 1997/50/2.


Barbara Darewicz, Janusz Darewicz, Anna Borucka, Jacek Kudelski, Jerzy Badyda
Klinika Urologii Akademii Medycznej w Białymstoku
Kierownik Kliniki: prof. dr hab. med. J. Darewicz
Zakład Anestezjologii i Intensywnej Terapii
Kierownik Zakładu: doc. dr med. L Malinowska


spinal anesthesia ? headaches ? treatment


Objective. The aim of the work were reason's analysis, prophylactic manner and
treatment of severe headaches, one of the complications of the spinal anesthesia.
Material and method. 1924 patients including 1321 males and 603 females, age 20
to 80 years old were analysed. Spinal anesthesia were performed using 20, 22 and 25G
needles, into the L3- L4 and L4-L5 spinal space. Anesthetic agents were 2 ml of the 5%
lignocainum solution or 3 ml of the 0,5% bipiwacainum solution with 1 ml 20% glucose.
Results. In 68 of them (3,53%) severe headaches were present. It was found that
they were correlated with size of the needle, patienfs age and in a less degree with
patients sex.
We obtained in the treatment very good results, using 5% glucose and 0,9%
physiological saline solutions intravenously.
Conclusions. Authors belive that in the headaches prophylactic decrease of the needle
diameter to 25-27G and staying in bed in a horizontal position for 24 hours after surgery
are important.


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