Study of post dural puncture headache with 27g quincke and whitacre needles in obstetrics / non obstetrics patients

ABSTRACT

The proposed study was carried out in the department of Anaesthesiology, Intensive care and Pain management, Himalayan Institute of Medical Sciences. Swami Rama Nagar, Dehradun. A total of 120 patients of ASA I and II obstetric and non-obstetric undergoing elective/emergency surgery under subarachnoid block were included under the study. To evaluate the frequency of PDPH during spinal anaesthesia using 27 gauge Quincke vs 27G whitacre needle in obstetric/non obstetric patient. In our study patients were in the age group of 15-75 years. Most of the patients in our study belong to ASA Grade I. There was 2%, 1%, 4%and 3%hypotension in-group A, B, C,D respectively. There was 2%, 4% shivering in-group A,C respectively and 1% each in group B,D. In our study failed spinal with 27G Quincke needle was in one case [3.33%] in-group C where successful subarachnoid was performed with a thicken spinal needle 23G Quincke. There was no incidence of PDPH in-group A and D, while 1[2%] patient in-group B and 2[4%] in group C. All the three patients were for lower section caesarean section and were young and had undergone more than one attempt to perform spinal block. The headache severity was from mild to moderate and no epidural blood patch was applied