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Journals / Eurasian Journal of Medicine / 2009 / Cilt: 41 - Sayı: 3

Dural ponksiyon sonrası başağrısının Önlenmesinde bvasit, güvenli ve etkin bir yaklaşım: Epidural salin enjeksiyonu

A simple, safe and effective approach to prevent postdural puncture headache: Epidural saline injection

Mehmet GÜNDOĞDU
Mehmet BİLİCİ
İlhami KİKİ
Rahsan YILDIRIM
H. Ahmet ALICI
Pages
175–179
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The rate of headache due to the LP was significantly higher in the first group than in the second group (48.8% vs. 16.4%, p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this study, we investigated the safety and effectiveness of epidural saline injection to prevent post-dural puncture headache (PDPH) in patients with acute lymphoblastic leukemia (ALL).
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Key Findings & Data:Lumbar puncture (LP) was performed without any additional intervention in the first group (18 cases), whereas 20 mL of isotonic saline was injected into the epidural space in the second group (15 cases).
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Conclusion & Impact:The rate of headache due to the LP was significantly higher in the first group than in the second group (48.8% vs. 16.4%, p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: In this study, we investigated the safety and effectiveness of epidural saline injection to prevent post-dural puncture headache (PDPH) in patients with acute lymphoblastic leukemia (ALL). Materials and Methods: Thirty-three patients with ALL undergoing induction therapy were accepted for the study. Four to six courses of intrathecal methotrexate therapy were administered to each patient for central nervous system prophylaxis. Patients were divided into two groups. Lumbar puncture (LP) was performed without any additional intervention in the first group (18 cases), whereas 20 mL of isotonic saline was injected into the epidural space in the second group (15 cases). The frequency and severity of PDPH were compared between the two groups.Results: Thirteen patients from the first group and five patients from the second group experienced at least one PDPH episode. In total, 54 PDPH episodes were reported in both groups. The rate of headache due to the LP was significantly higher in the first group than in the second group (48.8% vs. 16.4%, p

Özet

Amaç: Bu çalışmada Akut Lenfoblastik Lösemili (ALL) olgularda epidural salin enjeksiyonunun (ESE) Dural Ponksiyon Sonrası Başağrısı (DPSB)' nı önlemede etkinliğini ve güvenilirliğini araştırdık. Gereç ve Yöntem: Remisyon indüksiyon tedavisi uygulanmış 33 ALL hastası çalışmaya kabul edildi. Merkezi Sinir Sistemi (MSS) profilaksisi amacıyla her bir hastaya 4 ile 6 kür İntratekal Metotreksat (İT-MTX) tedavisi uygulandı.. Hastalar iki gruba ayrıldı. Birinci grupta (18 olgu) herhangi bir ek uygulama yapılmaksızın Lomber Ponksiyon (LP) yapılırken, ikinci grupta (15 olgu) epidural mesafeye 20 ml izotonik salin enjekte edildi. İki grup arasında DPSB sıklığı ve şiddeti karşılaştırıldı.Bulgular: Birinci gruptan 13 hasta ve ikinci gruptan 5 hasta en az bir DPSB epizodu yaşadı. Her iki grupta toplam olarak 54 DPSB epizodu gözlendi. Lomber Ponksiyona bağlı başağrısı oranı birinci grupta ikinci gruptan anlamlı olarak daha yüksekti (% 48,80 e karşı % 16,4, p

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Cite This Article

GÜNDOĞDU, M., BİLİCİ, M., KİKİ, İ., YILDIRIM, R., ALICI, H. A. (2022). Dural ponksiyon sonrası başağrısının Önlenmesinde bvasit, güvenli ve etkin bir yaklaşım: Epidural salin enjeksiyonu. Eurasian Journal of Medicine, Cilt: 41 - Sayı: 3, 175–179. https://ajindex.com/articles/509335

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