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ORIGINAL ARTICLE
Evaluation of the Effects of Magnesium Sulfate on Prevention of Post-dural-Puncture Headache in Elective Cesarean in Kamali Hospital
1
Assistant Professor of Anesthesioligy, Alborz University of Medical Sciences, Karaj, IRAN
2
Department of Anesthesioligy, Alborz University of Medical Sciences, Karaj, IRAN
3
Medical Geneticist, Saee rad genetic laboratory, Karaj, Alborz, IRAN
4
Assistant Professor, Infertility Fellowship, Obstetrics and Gynecology, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, IRAN
5
Student Research Committee, Alborz University of Medical Science, Karaj, IRAN
Online publication date: 2020-03-21
Publication date: 2020-03-21
Electron J Gen Med 2020;17(3):em199
KEYWORDS
ABSTRACT
Introduction:
One of the most common complications of spinal anesthesia in elective cesarean is a headache, known commonly as post-dural-puncture headache (PDPH). Various methods are mainly recommended such as resting and the use of non-opioid analgesics, caffeine, and codeine, but none of them has been fully effective in its treatment. Hence, this study was conducted to evaluate the effect of magnesium sulfate on the prevention of post-dural-puncture headache in the elective cesarean.
Method:
a total of 68 patients candidate for elective cesarean and admitted to Kamali Hospital were selected using convenient sampling and they were randomly divided into two groups. One group received magnesium and other group received saline. Subjects of case group received magnesium at the dose of 50 mg / kg as bolus and the subjects of control group received normal saline at the same dose as bolus. The incidence of headache and its severity 12, 24, 36, 48 , 60 and 72 hours after surgery were measured in both case and control groups.
Results:
The mean age of patients in the magnesium sulfate group was 27.94 years with a standard deviation of 5.18 and the mean age of patients in the normal saline group was 29.35 years with a standard deviation of 5.97. The mean body mass index (BMI) in the magnesium sulfate group was 26.34 with a standard deviation of 4.03 and the mean body mass index (BMI) in the normal saline group was 27.15 with a standard deviation of 2.47. Post-dural-puncture headache severity was lower in the case group than that in the control group at all times (P <0.05).
Conclusion:
The results of this study revealed that intravenous administration of magnesium sulfate before elective cesarean in patients undergoing spinal anesthesia significantly decreases the severity of post-dural-puncture headache (PDPH).
One of the most common complications of spinal anesthesia in elective cesarean is a headache, known commonly as post-dural-puncture headache (PDPH). Various methods are mainly recommended such as resting and the use of non-opioid analgesics, caffeine, and codeine, but none of them has been fully effective in its treatment. Hence, this study was conducted to evaluate the effect of magnesium sulfate on the prevention of post-dural-puncture headache in the elective cesarean.
Method:
a total of 68 patients candidate for elective cesarean and admitted to Kamali Hospital were selected using convenient sampling and they were randomly divided into two groups. One group received magnesium and other group received saline. Subjects of case group received magnesium at the dose of 50 mg / kg as bolus and the subjects of control group received normal saline at the same dose as bolus. The incidence of headache and its severity 12, 24, 36, 48 , 60 and 72 hours after surgery were measured in both case and control groups.
Results:
The mean age of patients in the magnesium sulfate group was 27.94 years with a standard deviation of 5.18 and the mean age of patients in the normal saline group was 29.35 years with a standard deviation of 5.97. The mean body mass index (BMI) in the magnesium sulfate group was 26.34 with a standard deviation of 4.03 and the mean body mass index (BMI) in the normal saline group was 27.15 with a standard deviation of 2.47. Post-dural-puncture headache severity was lower in the case group than that in the control group at all times (P <0.05).
Conclusion:
The results of this study revealed that intravenous administration of magnesium sulfate before elective cesarean in patients undergoing spinal anesthesia significantly decreases the severity of post-dural-puncture headache (PDPH).
REFERENCES (43)
1.
Ryu JH, Sohn IS, Do SH. Controlled hypotension for middle ear surgery: A comparison between remifentanil and magnesium sulfate. Br J Anaesth 2009;103(4):490-5. https://doi.org/10.1093/bja/ae... PMid:19687032.
2.
James MF. Clinical use of magnesium infusions in anesthesia. Anesth Analg 1992;74:129-36. https://doi.org/10.1213/000005... PMid:1734773.
3.
Wildev-Smith O, Hoffman A, Borgeat A, Rifat K. Fentanyl or magnesium analgesic supplementation of analgesic requirement. Anesthesiology 1992;77:208. https://doi.org/10.1097/000005... PMid:1632534.
4.
Miller RD. Miller’s Anesthesia text book. 7th ed. Vol 2. New York: Churchill Livingstone, 2010:2757-9.
5.
Bhatia A, Kashyap L, Pawar DK, Trikha A. Effect of intra operative magnesium infusion on perioperative analgesia in open choleoystectomy. J Clin Anesth 2004;16(4):262-5. https://doi.org/10.1016/j.jcli... PMid:15261316.
6.
Dubé L, Granry JC. The therapeutic use of magnesium in anesthesiology, intensive care and emergency medicine: a review. Can J Anaesth 2003; 50(7):732-46. https://doi.org/10.1007/BF0301... PMid:12944451.
7.
Woolf CJ, Thompson SWN. The introduction and maintenance of central sensitization is dependent on N-methyl D-aspartic acid receptor activation: implications for the treatment of post-injury pain and hypersensitivity states. Pain 1991;44:293-9. https://doi.org/10.1016/0304-3....
8.
Seyhan TO, Tugrul M, Sungur MO, Kayacan S, Telci L, Pembeci K, et al. Effects of three different dose of magnesium on propofol requirements, haemodynamic variable and post oprative pain relief in gynaecological surgery. Br J Anaesth 2006;96(2):247-52. https://doi.org/10.1093/bja/ae... PMid:16311277.
9.
James MF. Magnesium an emeging drug in anaesthesia. Br J Anaesth 2009;103:465-7. https://doi.org/10.1093/bja/ae... PMid:19749114.
10.
Cizmecip, Ozkose Z. Magnesium sulfate as an adjuvant to total intravenous anesthesia in septorhinoplasty. Anesthetic Plast Surg 2007;31(2):167-73. https://doi.org/10.1007/s00266... PMid:17437152.
11.
Davoudi M, Tahmasebi R, Zolhavareih SM. Evaluation of the Effect of Intravenous Magnesium Sulfate on Postoperative Pain after Cesarean Section under Spinal Anesthesia. Sci J Hamadan Univ Med Sci 2013;19(4):20-6.
12.
Mavrommati PD, Gubopoulou ZT. The perioperative infusion of low doses of magnesium sulfate reduces analgesic requirements in patients undergoing abdominal hernioplasty. Sci Direct 2004;3-4:81-7. https://doi.org/10.1016/j.acpa....
13.
Hwang JY, Na HS, Jeon YT, Ro YJ, Kim CS, Do SH. Infusion of magnesium sulfate during spinal anesthesia improves postoperative analgesia. Br J Anaesth 2010;104(1):89-93. https://doi.org/10.1093/bja/ae... PMid:19933175.
14.
Ryo JH, Kong MH, Park KS, Do SH. Effect of magnesium sulfate on intraoperative anesthetic requirements and postoperative analgesia in gynaecology patients receiving total intravenous anaesthesia. Br J Anaesth 2008;100(3):397-403. https://doi.org/10.1093/bja/ae... PMid:18276652.
15.
Yadollahi P, Khalajinia Z, Khormaei F. Cultural differences in perception of labor pain without considering to painless technique. Journal of Advanced Pharmacy Education & Research, 2018;8(S2):9-14.
16.
Yadollahi P, Taghizdeh Z, Ebadi A. A comprehensive description of delivery pain using a qualitative approach. Journal of Advanced Pharmacy Education & Research, 2018;8(S2):59-63.
17.
Khorasani Baghini F, Khosravani M, Amiri A. Evaluation of the effect of the provided training in delivery preparation classes on awareness and attitude of pregnant mothers toward delivery type in Razi Hospital of Saravan. Revista Latinoamericana de Hipertension, 2018;13(6):534-7.
18.
Khorasani Baghini F, Khosravani M, Amiri A. Evaluation of the effect of the provided training in delivery preparation classes on awareness and attitude of pregnant mothers toward delivery type in Razi Hospital of Saravan, Revista Latinoamericana de Hipertensión. 2018;13(6). Available at: http://saber.ucv.ve/ojs/index.....
19.
Hashemi SB, Amirfakhraei A, Mosallanezhad M, Amiri A. The effect of education on anxiety and self-efficacy in mothers of 1-3-year-old children under cochlear implant surgery, 2018: a randomized controlled clinical trial, Revista Latinoamericana de Hipertensión. 2019;14(1). Available at: http://saber.ucv.ve/ojs/index.....
20.
Rakhshan M, Rostami K, Setoodegan E, Eslami J. The relationship between leadership style and time management in senior and middle nursing managers, Revista Latinoamericana de Hipertensión. 2019;14(1). Available at: http://saber.ucv.ve/ojs/index.....
21.
Rostami K, Sharif F, Zarshenas L, Ebadi A, Farbood A. Design and Psychometrics of Measurement Tool of Health Needs in Patients with Chronic Back Ache, Revista Latinoamericana de Hipertensión. 2018;13(3). Available at: http://www.revhipertension.com....
22.
Rostami K, Zadeh SH, Rakhshan M. Chronic pain: a concept analysis. Electronic Journal of General Medicine. 2019;16(2):em130. https://doi.org/10.29333/ejgm/....
23.
Bazrafcan L, Amini M. Using CRISIS model for designing master in medical education at Shiraz University of Medical Sciences, Medical Teacher. 2019. https://doi.org/10.1080/014215... PMid:30736706.
24.
Bazrafcan L, Kojuri J, Amini M. Using SPICES educational strategy for undergraduate curricular reform at Shiraz Medical School, Medical Teacher. 2019. https://doi.org/10.1080/014215... PMid:30922163.
25.
Bazrafkan l, Kalyani MN. Nursing Students’ Experiences of Clinical Education: A Qualitative Study. Invest. Educ. Enferm. 2018;36(2):e04. https://doi.org/10.17533/udea.....
26.
Jaafari F, Delavari S, Bazrafkan L. Evaluation of the geriatric curriculum implemented at Shiraz University of Medical Sciences, Iran, since 2017: A qualitative study [version 1; peer review: 1 approved with reservations]. F1000Research 2019;8:417. https://doi.org/10.12688/f1000....
27.
Eslami J, Baghini FK, Moazamfard M. The Effect of Music on the Stress Severity among the Staff of Surgery Rooms. International Journal of Pharmaceutical Research;11(2):838-43. Available at: http://ijpronline.com/ViewArti....
28.
Rezapour-Nasrabad R. Application of Transitional Care Model in Patients with Chronic Heart Disease: A Case-Controlled Intervention Study, Revista Latinoamericana de Hipertensión. 2018;13(3). Available at: http://www.revhipertension.com....
29.
Rezapour-Nasrabad R. Transitional care model: managing the experience of hospital at home, Electronic Journal of General Medicine, 2018;15(5):em73. https://doi.org/10.29333/ejgm/....
30.
Amirfakhraei A, Hedayati M, Pirmoradi M. Coping Styles with psychological pressures in students of Iran University of medical sciences, International Journal of Pharmaceutical Research, January- March 2019;11(1):534-7. https://doi.org/10.31838/ijpr/....
31.
Pirmoradi M, Foroghinejad N, Bedmeshki FA. The relationship between job satisfaction and social support for employees with chronic fatigue. Ann Trop Med Public Health 2017;10:1681-5. https://doi.org/10.4103/ATMPH.....
32.
Pirmoradi M, Ghayoomi R, Foroghinejad N, Bedmeshki FA. The relationship between stressful life events with chronic fatigue in employees of Ahvaz water and Sewage Company, Annals of Tropical Medicine and Public Health-Special Issue Apr 2018;13:SX735-18. Available at: http://www.atmph-specialissues....
33.
Pirmoradi MR, Poya FS, Rad MT, Veisy F, Gheitarani B, Davoodi R, Ghahari S. Comparison of Anxiety, Depression and Stress and Emotional Self-Regulation in Normal and Divorced Women. International Journal of Tropical Medicine, 2016;11:159-64. https://doi.org/10.3923/ijtmed....
34.
Bazrafkan L, Yousefy A, Amini M, Yamani N. The journey of thesis supervisors from novice to expert: a grounded theory study. BMC medical education. 2019 Dec;19(1):1-2. https://doi.org/10.1186/s12909... PMid:31438935 PMCid:PMC6704648.
35.
Bijani M, Ghodsbin F, Javanmardi Fard S, Shirazi F, Sharif F, Tehranineshat B, An evaluation of adherence to ethical codes among nurses and nursing students, J Med Ethics Hist Med. 2017 Jul 5;10:6. Available at: https://www.ncbi.nlm.nih.gov/p....
36.
Torabizadeh C, Ghodsbin F, Javanmardifard S, Shirazi F, Amirkhani M, Bijani M. The Barriers and Challenges of Applying New Strategies in the Clinical Evaluation of Nursing Students from the Viewpoints of Clinical Teachers, Iran J Nurs Midwifery Res. 2018 Jul-Aug;23(4):305-10. https://doi.org/10.4103/ijnmr.... PMid:30034492 PMCid:PMC6034533.
37.
Bijani M, Rostami K, Momennasab M, Yektatalab S, Evaluating the Effectiveness of a Continuing Education Program for Prevention of Occupational Exposure to Needle Stick Injuries in Nursing Staff Based on Kirkpatrick’s Model, J Natl Med Assoc. 2018 Oct;110(5):459-63. https://doi.org/10.1016/j.jnma... PMid:30129513.
38.
Torabizadeh C, Mahnazrakhshan, Zhilafreidooni, Njimehbeygi, Bijani M. Professional Capability in Nursing, International Journal of Pharmaceutical Research, January- March 2019;11(1):556-66. https://doi.org/10.31838/ijpr/....
39.
Bijani M, Haghshenas A, Ghasemi A. Evaluation of the Effect of Education Based on Health Belief Model on Self-Therapy and Self-medication in Students at Fasa Medical Sciences Dormitories, International Journal of Pharmaceutical Research, Jan-Mar 2019;11(3). https://doi.org/10.31838/ijpr/....
40.
Bijani M, Khaleghi AA, Hatami M, Najafi H, Haghshenas A. A study of the consistency between hypertension medications prescribed by general practitioners and 2018 ESC/ESH guidelines for the management of hypertension, Revista Latinoamericana de Hipertensión. 2019;14(1). Available at: http://saber.ucv.ve/ojs/index.....
41.
Bijani M, Tehranineshat B, Torabizadeh C., Nurses’, nursing students’, and nursing instructors’ perceptions of professional values: A comparative study, Nurs Ethics. 2019 May;26(3):870-83. https://doi.org/10.1177/096973... PMid:28905676.
42.
Bijani M, Ghasemi A, Karimi S, Freidooni Z, Beygi N. The Role of Educational Intervention Based on the Health Belief Model in Colorectal Cancer Screening of Teachers in Fasa. Journal of Computational and Theoretical Nanoscience. 2019;16(7):2954-2958(5). https://doi.org/10.1166/jctn.2....
43.
Bijani M, Rostami K, Ghasemi A, Emami M, Fereidouni Z. Investigation of diabetes prevention behaviors among teachers of different level of education based on Pender model in selected educational centers in southwestern Iran, 2019. Revista Latinoamericana de Hipertensión. 2019;14(4):290-4.
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