Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Spinal Needle after Spinal Anaesthesia
Gulsher, Riffat Zahid, Syed Mehmood Ali, Muhammad Naveed Shahzad, Amer Latif, Irfan Ali, Muhammad Sarwar, Wali Khan
3116
ABSTRACT
Objective: To compare the frequency of post dural puncture headache with
Quincke 25G and Quincke 27G of spinal needles for spinal anesthesia.
Design of the Study: It’s a Randomized control trial.
Study Settings: This study was carried out Department of anesthesiology and
Intensive Care Unit, Shaikh Zayed Hospital Lahore from 29-08-2020 to 01-03-2021.
Material and Methods: In this prospective study 100 patients were enrolled who were decided
to undergo spinal anesthesia. Two groups were made by randomization. In
patients of group I, anesthesia was administered by using 25G quincke needle
while 27G quincke needle was used for patients in group II. Evaluation of
patients was with regard to development of postoperative PDPH within 3-days. Groups
were compared by using Chi-square test and a P-value<0.05 was taken statistically
significant.
Results of the Study: PDHD was seen in 14 (28%) patients in group I and in 4 (8%)
patients in group II. Statistically, the difference between the two groups was
significant (p<0.05)..
Conclusion: Due to less
frequency of PDPH with 27G needle, it should be given preference for applying
spinal anesthesia over 25G needle.
Keywords: Spinal anesthesia, post dural puncture headache; quincle needle.