000			02843cam a2200325 a 4500
003			EG-GiCUC
008			180922s2018 ua f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.01.M.Sc.2018.No.T
100	0		_aNora Amr Ali Agiza
245	1	0	_aTwo fluid strategies for prevention of post-dural puncture headache in pregnant females undergoing cesarean section / _cNora Amr Agiza ; Supervised Tarek M. Abdelbarr , Mohamed Ibrahim Elsonbaty , Hebatallah Salah Eldin Abdelhameed
246	1	5	_aمقارنة تأثير طريقتين لاعطاء المحاليل على حدوث صداع ما بعد البذل القطنى فى الولادة القيصرية
260			_aCairo : _bNora Amr Ali Agiza , _c2018
300			_a106 P. ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
520			_aBackground and goal of study: Postdural puncture headache (PDPH) is a common complication after cesarean delivery (CD). The role of perioperative fluid therapy in prophylaxis against PDPH is unclear. The aim of this work is to compare restrictive versus liberal fluid therapy in prophylaxis against PDPH after CD. Materials and methods: One hundred full term pregnant women scheduled for elective CD were included in the study. Patients were divided into two groups: Restrictive fluid therapy group (RG) (n=50): did not receive preoperative fluid loading. This group received intraoperative crystalloids at rate of 10 mL/Kg/hour followed by postoperative crystalloids at rate of 2mL/Kg/hour for 3 hours. Liberal fluid therapy group (LG) (n=50): received preoperative fluid loading of 5 mL/Kg, and received intraoperative crystalloids at rate of 10 mL/Kg/hour, followed by postoperative crystalloids at rate of6 mL/Kg/hour. Both groups were compared regarding demographic data, total perioperative fluids, incidence of PDPH, Wong-baker FACES pain-rating scale, postoperative nausea and vomiting, hemodynamics (heart rate and systolic blood pressure), and neonatal outcomes. Results and Discussion: Group RG received median (quartiles) total fluid volume of 1200(1000,1500)mL; whilst, group LG received total fluid volume of 2400 (2200,2600), (p<0.001). Group RG showed lower incidence of PDPH (20% Vs. 44%, P=0.018) compared to group LG. Wong-baker FACES pain-rating scale was lower in group RG compared to LG
530			_aIssued also as CD
653		4	_aFluids and PDPH
653		4	_aPDPH
653		4	_aSpinal anesthesia
700	0		_aHebatallah Salah Eldin Abdelhameed , _eSupervisor
700	0		_aMohamed Ibrahim Elsonbaty , _eSupervisor
700	0		_aTarek Mahmoud Abdelbarr , _eSupervisor
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c67614 _d67614