The Rate of Headache after Caesarean Section and the Size of Needle for Spinal Anesthesia: Clinical Trial

Sushil Kumar; Veena Horo

Volume : VIII, Issue : II, February - 2019

The Rate of Headache after Caesarean Section and the Size of Needle for Spinal Anesthesia: Clinical Trial

Sushil Kumar, Veena Horo

Abstract :

PDPH is a common complication after spinal anesthesia that defined as a headache that occurs in one day after spinal anesthesia. It is demonstrated with frontal or neck pain with at least 15 min duration when under spinal anesthesia patients sits up. Some studies reported that the rates of PDPH can be affected by the size and structure of needles that used for spinal anesthesia. The needle size used for spinal anesthesia is known to be the most important determinant in the incidence of post dural puncture headache with larger size needles associated with higher incidence of headache. Aim: the rate of postdural puncture headache (PDPH) was compared after caesarean section with spinal anesthesia using the 25 gauge spinal needle with the 27 gauge. Methods: present study is a randomized clinical trial and 220 full term women entered for caesarean section. We entered full term women randomly for spinal anesthesia with the 25 gauge (group A) and 27 gauge (group B) Quincke spinal needles. In 3 postoperative days, we fallowed and compared Participants in 2 groups for the rate and severity of PDPH. PDPH was defined occipital or frontal headache that made hard the position on sitting or standing. Results: Data of 220 patients were analyzed. The rate of PDPH was significantly higher in women in group A compared to group B at first (P=0.015), second (P=0.037) and third (P=0.005) follow up days. The severity of the PDPH was not significantly different between 2 groups in three follow up days. The rate of success in spinal anesthesia achievement was not significantly different between 2 groups. Conclusion: The results of present study recommended that the size of spinal needle can effect on the rate of PDPH after caesarean section.