Senol
Hyperbaric oxygenation did not improve post-dural puncture headache after spinal anaesthesia.
1. Hyperbaric oxygen did not reduce pain scores compared to a sham procedure at any time between one and five days
Citation/s: 1. Senol MG, Kendirli MT, Sen A, Karadurmus N, Kendirli N, Sen H, Saracoglu M. Efficacy of hyperbaric oxygen therapy in post-dural puncture headache. TURKIYE KLINIKLERI TIP BILIMLERI DERGISI. 2009 Dec 1;29(6):1618-22.
Lead author's name and fax: Mehmet Senol: mgsenol@yahoo.com
Three-part Clinical Question: Does hyperbaric oxygen improve post lumbar puncture headache?
Search Terms: Post-dural-puncture headache; spinal headache; normobaric
The Study:
Double-blinded randomised controlled trial with intention-to-treat.
The Study Patients: Patients complaining of post dural puncture headache after spinal anaesthesia.
Control group (N = 10; 10 analysed): Nil specific therapy - air-breathing only.as a sham procedure daily for six days
Experimental group (N = 10; 10 analysed): As above but 100% oxygen breathing at 2.0 ATA for 45 minutes.
The Evidence:
Measure |
Sham Group |
HBOT Group |
Difference |
95% CI | ||
Mean |
SD |
Mean |
SD | |||
|
Mean pain score (0 no pain to 100 maximum pain) Day 1 |
50.1 |
24.8 |
44.2 |
21.4 |
5.9 |
-498.2 to 51.0 |
|
Mean pain score (0 no pain to 100 maximum pain) Day 2 |
32.4 |
20.8 |
27.8 |
21.7 |
4.6 |
-419.9 to 429.1 |
Comments:
1, Abstract and limited translation only - full translation of the paper would be welcome!
2. Small measured benefits from hyperbaric oxygen cannot be ruled out in this underpowered study.
Appraised by: Mike Bennett m.bennett@unsw.edu.au; Wednesday, 5 February 2020
Kill or Update By: February 2021
