The incidence of post-dural puncture headache in the obese parturient compared to the non-obese parturient after an accidental dural puncture: a systematic review protocol

The purpose of this systematic review is to determine if there is a difference in the incidence of post-dural puncture headache in the obese parturient compared to the non-obese parturient after an accidental dural puncture. Placement of an epidural catheter is a common technique to ease the pain of...

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Bibliographic Details
Published in:	JBI evidence synthesis Vol. 18; no. 6; pp. 1320 - 1325
Main Authors:	Russell, Tyler William, Rosc, Alexander Reinhardt, McShane, Franklin John
Format:	Journal Article
Language:	English
Published:	United States JBI 01-06-2020
Subjects:	Adolescent Adult Anesthesia, Obstetrical Blood Patch, Epidural Female Humans Incidence Middle Aged Obesity - epidemiology Post-Dural Puncture Headache - epidemiology Pregnancy Punctures Systematic Reviews as Topic Young Adult
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Summary:	The purpose of this systematic review is to determine if there is a difference in the incidence of post-dural puncture headache in the obese parturient compared to the non-obese parturient after an accidental dural puncture. Placement of an epidural catheter is a common technique to ease the pain of childbirth. One potential complication is a headache that occurs if the dura mater is accidentally punctured with the epidural needle during the procedure. Certain factors impact the likelihood of a postdural puncture headache after an accidental dural puncture in parturients. One potential factor is obesity. There is evidence to suggest that obesity lowers the risk of postdural puncture headache, although not all studies agree. There are no current or active systematic reviews that address whether or not obesity in parturients is protective against postdural puncture headache. Studies with parturients aged 18 to 45 who have had a documented accidental dural puncture with an epidural needle will be included in this review. Studies with parturients with a history of spinal surgery or pre-existing headache pathology will be excluded. Studies involving non-obstetrical patients will be excluded. A systematic search of MEDLINE, CINAHL Complete, Scopus, and Wiley Online Library will be conducted to identify studies on the topic of interest. Studies will be selected for review based on the inclusion criteria and will be appraised by two reviewers using the appropriate JBI standardized appraisal tool. 136047 (PROSPERO).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2689-8381 2689-8381
DOI:	10.11124/JBISRIR-D-19-00037