Incidence Of Post Dural Puncture Headache Following Spinal Anesthesia In Caeserian Section. A Comparison of 25G Quincke And 25G Whitacre Needle

DR. VIJAY KUMAR; DR.BINDU GEORGE; DR. NISCHALA DIXIT

Volume : VII, Issue : XI, November - 2018

Incidence Of Post Dural Puncture Headache Following Spinal Anesthesia In Caeserian Section. A Comparison of 25G Quincke And 25G Whitacre Needle

Dr. Vijay Kumar, Dr. Bindu George, Dr. Nischala Dixit

Abstract :

Obstetrics patients are at increased risk for PDPH . It has the potential to cause significant morbidity in mothers.Aim of our study was to compare the incidence of PDPH with 25G Quincke and 25 G Whitacre needles in caeserian patients.

Materials and Methods

After institutional ethical board approval and written informed consent, this prospective randomized study was done in our hospital. 100 ASA1 and 2 patients posted for caeserian were randomly divided in to 2 groups. Group 1,(n=50) received spinal anesthesia using 25G Quincky and Group2 (n=50) using 25G , Whitacre needle. Incidence ,severity and duration of head ache compared.

RESULTS

Eight (16%) patients in Quincky group and two (4%) patients in Whitacre group developed PDPH .But the difference in incidence of PDPH between the groups was not statistically significant. Difference in ease of insertion between needles in two groups didn�t show any statistical significance.

Conclusion

Incidence and severity of head aches with Whitacre needle was less compared to cutting needle , though difference was not statistically significant. We conclude pencil point needles should be preferred for caeserian patients receiving spinal anaesthesia.