COMPARISON OF POST-DURAL PUNCTURE HEADACHE IN SPINAL ANAESTHESIA USING 25-GAUGE VERSUS 29-GAUGE SPINAL NEEDLE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 36
Abstract
BACKGROUND Incidence of post-dural puncture headache varies from 0% to 16% depending upon the gauge of spinal needle used. A nonrandomised controlled trial study was conducted to compare the incidence of post-dural headache in spinal anaesthesia using 25- gauge and 29-gauge spinal needle. 100 patients between 18 and 40 years age belonging to ASA group I and II of pregnant female patient were taken to receive a spinal anaesthesia with 25-gauge/ 29-gauge spinal needle for LSCS operation. The incidence, type, severity, day of onset and site of post-dural punctured headache was recorded for first 4 operative days and data obtained was analysed for any significant difference among the two groups. Incidence of post-dural spinal headache was significantly high in patients on whom 25-gauge spinal needle was used as compared to those with 29-gauge spinal needle. MATERIALS AND METHODS The non-randomised controlled trial study was conducted on a total of 100 pregnant patients belonging to ASA Group I and II with age group ranging from 18 to 40 years after taking prior consent from the patient and approval from Hospital Committee. RESULTS One hundred patients were subjected to LSCS operation. Patients’ details and volume of drugs used are given in Table 1. Post-dural puncture headache occurred in four patients (8%) of Group I. Two patients’ headache lasted for two days, while in other two patients headache lasted for 1 day. CONCLUSION This implies that 29-gauge needle is difficult to use. We also concluded that weight and age are not the risk factors for PDPH.
Authors and Affiliations
Sanjeev Kumar, Ashutosh Kumar
Keywords
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- EP ID EP545087
- DOI 10.14260/jemds/2018/901
- Views 63
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