The effect of lateral versus sitting position during spinal anesthesia on postdural puncture headache and hemodynamic status among orthopedic patients in Black lion specialized, Addis Ababa, Ethiopia, 2023/24.
| dc.contributor.advisor | Gebeyehu,Geresu (BSc, MSc) | |
| dc.contributor.advisor | Kassa,Adugna(Ass.Prof.) | |
| dc.contributor.author | Borana,Mulatu Milkias | |
| dc.date.accessioned | 2025-08-13T07:30:32Z | |
| dc.date.available | 2025-08-13T07:30:32Z | |
| dc.date.issued | 2024-06 | |
| dc.description.abstract | Background: Although spinal anesthesia is simple and creates a safe environment for surgeries below umbilicus, it has many associated side effects that affect the quality of health system on patients’ satisfaction. A postdural puncture headache is a common complication of spinal anesthesia. Although orthopedic patients are among patients that take spinal anesthesia repeatedly, studies that explain the association of postdural puncture headache with position during administration of spinal anesthesia are limited. Objectives: The objective of this study was to assess the effect of lateral vs. sitting position during administration of spinal anesthesia on postdural puncture headache and hemodynamic status among elective orthopedic patients. Method: A prospective cohort study was conducted at Tikur Anbessa Specialized hospital, on department of orthopedics and traumatology from January 1 to April 30, 2024. A total of 84 patients aged 20 to 66 with ASA class of I and II were selected by systematic random sampling technique. The demographic data, intraoperative hemodynamics and other results were collected and described in tables and figures. An independent samples t-test was used to analyze hemodynamic status and a chi-square test was used to compare postdural puncture headache. A statistical significance was determined when p value <0.05. Result: The result of this study shows that incidence of postdural puncture headache among elective orthopedic patients was 15.5% with 23% postdural puncture headache is from sitting position and 7.3% from lateral position which is statistically significant with p value of .035. Hypotension was significantly high in patients who have taken spinal anesthesia in lateral position. Conclusion and Recommendation: Our study demonstrated that the incidence of PDPH is low when spinal anesthesia is administered in lateral position and also administration of spinal anesthesia in lateral position decreased MAP which was a statistically significant. We recommend anesthesia providers to make administering spinal anesthesia in lateral position to patients with stable baseline blood pressure, part of routine activity in order to decrease an incidence of a debilitating complication of SA called PDPH on this group of surgical patients. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6586 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Spinal anesthesia | |
| dc.subject | postdural puncture headache | |
| dc.subject | orthopedic patients | |
| dc.subject | position | |
| dc.title | The effect of lateral versus sitting position during spinal anesthesia on postdural puncture headache and hemodynamic status among orthopedic patients in Black lion specialized, Addis Ababa, Ethiopia, 2023/24. | |
| dc.type | Thesis |