INCIDENCE OF POSTDURAL PUNCTURE HEADACHE: A COMPARATIVE STUDY WITH USING 25G & 26G SPINAL QUINCKE NEEDLE AND MEDIAN AND PARAMEDIAN APPROACHES.

Manish Singh Chauhan, Ajay Kumar Gupta

Abstract


Background- Postdural Puncture headache (PDPH) remains the most frequent complication of central neuraxial blockade. It can occur following uncomplicated spinal anesthesia as well as accidental dural puncture in epidural anesthesia.

Methods- In the hospital based prospective study of 200 subjects of ASA grade I and II ranging from 18 to 45 years who underwent lower segment caesarean section under spinal anesthesia were taken into consideration.

Results- In comparison there was no significant difference from that of 25- and 26-gauge Quincke needles midline and paramedian approach (8.00%, 4.00%, 4.00%,2.00% respective). All cases of PDPH were mild in nature

Conclusion- No significant difference from that of 25- and 26-gauge Quincke needles was observed and paramedian approach using quincke level needle reduces the incidence of PDPH.


Keywords


Spinal anesthesia, LSCS, Postdural Puncture headache (PDPH), 25-Gauge Quincke needle, 26-Gauge Quincke needle

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References


Wulf HF.The centennial of spinal anesthesia. Anesthesiology. 1998;89:500–6.

Flaatten H, Rodt SA, Rosland J, Vamnes J. Postoperative headache in young patients after spinal anesthesia. Anesthesia. 1987;42:202–5.

Smith EA, Thorburn J, Duckworth RA, Reid JA. A comparison of 25G and 27G Whitcare needles for caesarean section. Anaesthesia 1994; 49:859-62

Fauzia Bono, Saeeda Haider, Sadqa Aftab, Tipu Sultan. Comparison of 25-G Quincke and Whitacre needles for post dural puncture headache in obstetric patients. JCPSP 2004 Vol 14 (11): 647- 650.

G. Edward Morgan, Jr. Maged S. Mikhail. Spinal Epidural and Caudal Blocks. Clinical Anaesthesiology. (Lange) Second Edition.(Los Angeles) 1995 p 211-244.

Lee JA, Arthur Edward, James Barker. 1850-1916. British pioneer of regional analgesia. Anaesthesia 1979; 34: 885-91.

Hwang JJ, Ho ST, Wang JJ, Liu HS. Postdural puncture headache in caesarean section: comparison of 25G Whitcare and 25G and 26G Quincke needles. Acta Anaesthesiol Sin 1997; 35:33-7.

Reina MA, de Leon –Casasola OA. Lopez A, De Andres J, Martin S, Mora M. An in vitro study of dural lesions produced by 25G Quincke and Whitcare needle evaluated by scanning electromicroscopy. Reg Anaesth Pain Med.2000; 25:393-402

Rushman GB, Davis NJH, Cashman JN. Lee s’ Synopsis of Anaesthesia.12th ed. Oxford: Butterworth –Heinemann, 1989; 685.

Vallejo MC, Mandell GL, Sabo DP, Ramanathan S. A randomized comparison of five spinal needles in obstetrics patients. Anaesth Analg.2000; 91:916-20.


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