Post Dural Puncture Headache(PDPH) after spinal anesthesia for caesarean section(CS) – A comparative study with 25G and 27G Quincke spinal needle

Abstract

Aim : Post dural puncture headache(PDPH) is one of the most common complication after subarachnoid block (SAB). Several factors contribute to the development of PDPH. It includes needle size, type of needle, direction of the bevel side, number of attempt, CSF loss, age and weight of the patient. The aim of the study was to assess the incidence and risk of PDPH after subarachnoid block(SAB) in caesarean section(CS). Method : The study was designed as prospective with random sampling method. 126 patients were included in this study after exclusion criteria. Pulse, BP, SPO2 and other minor complications were observed. PDPH was followed for 3 days in post-operative period. Data was analyzed statistically. Result : One hundred and twenty-six patients were included in this study of which 11.11% developed post dural puncture headache (PDPH). 25G quincke needle developed 14.27% and 27G quincke needle developed 7.9%. Conclusion : The study showed that small bore quincke needle (27G) frequency of PDPH is less than that of large bore 25G quincke needle. Frequent attempt and loss of CSF are also responsible for development of PDPH in spinal anesthesia.

JBSA 2023; 36 (1) : 22-27