INCIDENCE AND FACTORS ASSOCIATED WITH POST-SPINAL HEADACHE AMONG PATIENTS RECEIVING SPINAL ANAESTHESIA AT BHARATPUR HOSPITAL CHITWAN NEPAL

Mina Kumari Bhusal, Laxmi Rajbanshi, *Kapil Amgain and Ganesh Amgain

ABSTRACT

Post Spinal Headache (PSH) is one of the most common complications of spinal anaesthsia. It usually occurs within several days after the lumbar puncture for the different surgical procedure. Spinal anaesthesia (SA) is an anesthetic technique of choice for older adults due to its overall favorable profile. This was a descriptive cross-sectional study carried out at Bharatpur hospital of chitwan district of Nepal which is 300 bedded government hospital where approximately 220 patients were operated under spinal anaesthesia per month. Ethical consideration was taken both from Thesis committee of CMC College of Nursing and CMC/IRC and bharatpur hospital before starting data collection. Data were collected through the self administered semi-structured questionnaire. The collected data was coded and entered in SPSS version 16 for statistical analysis. Collected data were analyzed using the descriptive statistics such as frequency, percentage, mean, SD and inferential statistics such as chi-square test, and Odds ratios was used to find out the association between different variables related to spinal anaesthesia and post spinal headache. The incidence of post spinal headache was 14.9%. the post spinal headache was statistically significant with BMI of the respondents, direction of the bevel, number of puncture attempts and position during anaesthesia. There was no significant associatiob between age, post procedure spinal anaesthesia management and post spinal headache. But the incidence of headache is higher among the respondents who had raise head before 24 hours than who had raised head after 24 hours.

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