The Experts below are selected from a list of 243 Experts worldwide ranked by ideXlab platform
Sun Ju Chang Rn - One of the best experts on this subject based on the ideXlab platform.
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a comparison of the incidence of post dural puncture headache and Backache after spinal anesthesia a pragmatic randomized controlled trial
Worldviews on Evidence-based Nursing, 2017Co-Authors: Jeong Sil Choi Rn, Sun Ju Chang RnAbstract:Background Although bed rest is recommended after spinal anesthesia to prevent the occurrence of post-dural puncture headache, current literature suggests that periods of bed rest did not prevent headache as well as increase the risk of other complications such as Backache. However, information is scarce regarding an appropriate period of bed rest following a dural puncture. Aim The aim of this study was to compare the incidence of post-dural puncture headache and Backache after different periods of bed rest following spinal anesthesia. Methods This study was a pragmatic, parallel-group, blinded, and randomized controlled trial (trial registration number KCT0001797). A total of 119 patients who underwent surgery under spinal anesthesia participated in this study from December 2013 to June 2014. The participants were randomly allocated to three groups: the immediate mobilization group (n = 45), 4-hour bed rest group (n = 40), and 6-hour bed rest group (n = 34). The severity of headache and Backache was measured using the Dittmann scale and a visual analogue scale, respectively. Data were collected for 5 consecutive days postoperatively by one researcher blind to the group allocation. Results No significant difference in the incidence of headache among the three groups was detected. However, the incidence of Backache in the 6-hour bed rest group was higher and was significantly more severe than the other groups. Linking Evidence to Action Bed rest after spinal anesthesia did not prevent the occurrence of headache and increased the incidence of patients experiencing a Backache and, therefore, is not recommended. The findings provide information for establishing evidence-based nursing practices for patients after a dural puncture.
Sun Ju Chang - One of the best experts on this subject based on the ideXlab platform.
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a comparison of the incidence of post dural puncture headache and Backache after spinal anesthesia a pragmatic randomized controlled trial
Worldviews on Evidence-based Nursing, 2018Co-Authors: Jeong Sil Choi, Sun Ju ChangAbstract:BACKGROUND: Although bed rest is recommended after spinal anesthesia to prevent the occurrence of post-dural puncture headache, current literature suggests that periods of bed rest did not prevent headache as well as increase the risk of other complications such as Backache. However, information is scarce regarding an appropriate period of bed rest following a dural puncture. AIM: The aim of this study was to compare the incidence of post-dural puncture headache and Backache after different periods of bed rest following spinal anesthesia. METHODS: This study was a pragmatic, parallel-group, blinded, and randomized controlled trial (trial registration number KCT0001797). A total of 119 patients who underwent surgery under spinal anesthesia participated in this study from December 2013 to June 2014. The participants were randomly allocated to three groups: the immediate mobilization group (n = 45), 4-hour bed rest group (n = 40), and 6-hour bed rest group (n = 34). The severity of headache and Backache was measured using the Dittmann scale and a visual analogue scale, respectively. Data were collected for 5 consecutive days postoperatively by one researcher blind to the group allocation. RESULTS: No significant difference in the incidence of headache among the three groups was detected. However, the incidence of Backache in the 6-hour bed rest group was higher and was significantly more severe than the other groups. LINKING EVIDENCE TO ACTION: Bed rest after spinal anesthesia did not prevent the occurrence of headache and increased the incidence of patients experiencing a Backache and, therefore, is not recommended. The findings provide information for establishing evidence-based nursing practices for patients after a dural puncture.
Jeong Sil Choi Rn - One of the best experts on this subject based on the ideXlab platform.
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a comparison of the incidence of post dural puncture headache and Backache after spinal anesthesia a pragmatic randomized controlled trial
Worldviews on Evidence-based Nursing, 2017Co-Authors: Jeong Sil Choi Rn, Sun Ju Chang RnAbstract:Background Although bed rest is recommended after spinal anesthesia to prevent the occurrence of post-dural puncture headache, current literature suggests that periods of bed rest did not prevent headache as well as increase the risk of other complications such as Backache. However, information is scarce regarding an appropriate period of bed rest following a dural puncture. Aim The aim of this study was to compare the incidence of post-dural puncture headache and Backache after different periods of bed rest following spinal anesthesia. Methods This study was a pragmatic, parallel-group, blinded, and randomized controlled trial (trial registration number KCT0001797). A total of 119 patients who underwent surgery under spinal anesthesia participated in this study from December 2013 to June 2014. The participants were randomly allocated to three groups: the immediate mobilization group (n = 45), 4-hour bed rest group (n = 40), and 6-hour bed rest group (n = 34). The severity of headache and Backache was measured using the Dittmann scale and a visual analogue scale, respectively. Data were collected for 5 consecutive days postoperatively by one researcher blind to the group allocation. Results No significant difference in the incidence of headache among the three groups was detected. However, the incidence of Backache in the 6-hour bed rest group was higher and was significantly more severe than the other groups. Linking Evidence to Action Bed rest after spinal anesthesia did not prevent the occurrence of headache and increased the incidence of patients experiencing a Backache and, therefore, is not recommended. The findings provide information for establishing evidence-based nursing practices for patients after a dural puncture.
Jeong Sil Choi - One of the best experts on this subject based on the ideXlab platform.
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a comparison of the incidence of post dural puncture headache and Backache after spinal anesthesia a pragmatic randomized controlled trial
Worldviews on Evidence-based Nursing, 2018Co-Authors: Jeong Sil Choi, Sun Ju ChangAbstract:BACKGROUND: Although bed rest is recommended after spinal anesthesia to prevent the occurrence of post-dural puncture headache, current literature suggests that periods of bed rest did not prevent headache as well as increase the risk of other complications such as Backache. However, information is scarce regarding an appropriate period of bed rest following a dural puncture. AIM: The aim of this study was to compare the incidence of post-dural puncture headache and Backache after different periods of bed rest following spinal anesthesia. METHODS: This study was a pragmatic, parallel-group, blinded, and randomized controlled trial (trial registration number KCT0001797). A total of 119 patients who underwent surgery under spinal anesthesia participated in this study from December 2013 to June 2014. The participants were randomly allocated to three groups: the immediate mobilization group (n = 45), 4-hour bed rest group (n = 40), and 6-hour bed rest group (n = 34). The severity of headache and Backache was measured using the Dittmann scale and a visual analogue scale, respectively. Data were collected for 5 consecutive days postoperatively by one researcher blind to the group allocation. RESULTS: No significant difference in the incidence of headache among the three groups was detected. However, the incidence of Backache in the 6-hour bed rest group was higher and was significantly more severe than the other groups. LINKING EVIDENCE TO ACTION: Bed rest after spinal anesthesia did not prevent the occurrence of headache and increased the incidence of patients experiencing a Backache and, therefore, is not recommended. The findings provide information for establishing evidence-based nursing practices for patients after a dural puncture.
D Rating - One of the best experts on this subject based on the ideXlab platform.
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headache and Backache after lumbar puncture in children and adolescents a prospective study
Pediatrics, 2004Co-Authors: Friedrich Ebinger, Christina Kosel, Joachim Pietz, D RatingAbstract:Objective. After lumbar puncture, many adults develop headaches or Backaches. Postpuncture complaints are believed to be rare in children and adolescents, but their exact incidence is unclear because there is a paucity of data derived from general pediatric patients. In a prospective study of general pediatric and neuropediatric patients, we investigated the frequency of postlumbar puncture headaches or Backaches and factors that might influence their occurrence. Methods. Conducted over 12 months, the prospective study included 112 patients aged 2 to 16 years. We evaluated them for factors that might influence the rate of postpuncture complaints: age, gender, use of local anesthesia, cannula gauge, bevel orientation, number of puncture attempts, volume of cerebrospinal fluid (CSF) aspirated, and cell count in CSF. Results. Twenty-seven percent of the patients experienced headaches (positional headache in 9%), and 40% developed Backache. Frequency of complaints increased in relation to patients9 age. In older children, girls reported complaints more frequently than did boys. Patients with higher cell counts in CSF had more frequent headaches than did patients without pleocytosis. Cannula gauge or bevel orientation did not influence outcome. Conclusion. The frequency of positional and nonpositional headaches after lumbar puncture is lower in children than in adults. Backaches contribute significantly to postpuncture morbidity. With puberty, the incidences of postpuncture complaints increase, and girls start to become more prone to develop postpuncture headaches. Recommendations regarding cannula gauge or bevel orientation that derive from studies in adults are not confirmed for children.
