A COMPARATIVE STUDY TO KNOW THE INCIDENCE OF POST-DURAL PUNCTURE HEADACHE FOLLOWING SUBARACHNOID BLOCK USING 27 G QUINCKE S AND WHITACRE NEEDLES - A RANDOMIZED CLINICAL TRIAL.

Corresponding Author:
Dr. Shivanand Laxman Karigar,
Assistant Professor,
Department of Anaesthesia,
BLDEU, Shri B.M. Patil Medical College,
Vijaypur.
E-mail: shivanandkarigar82@gmail.com

ABSTRACT

BACKGROUND

The introduction of local anaesthetic solutions into subarachnoid space produces Spinal Anaesthesia (SA). Spinal anaesthesia can be used either alternative to the general anaesthesia or can be used simultaneously with general anaesthesia or afterwards for post-operative analgesia and for the management of acute and chronic pain disorder.

OBJECTIVES

The study is carried out to evaluate the following parameters on using 27G Quincke’s and Whitacre’s spinal needles and to know the incidence of post dural puncture headache.

METHODOLOGY

The present study was conducted in the Department of Anaesthesiology, BLDEU, Shri B.M. Patil Medical College, Vijaypur, from January 2015 to December 2015. Patients between the age of 20 to 60 years with ASA grade I and II undergoing lower abdominal and lower limb surgeries were included.

RESULTS

Females outnumbered males in both the groups (56.1% and 57.2%) with male-to-female ratio of 1:1.31 in Quincke group and 1:1.37 in Whitacre group. Majority (30.13%) of the patients had age between 20 to 29 years in Quincke group compared to 30.12% of the patients in the age ranging from 50 to 60 years in Whitacre group. The incidence of PDPH is 3.1% in Quincke group and 1.1% patients in Whitracre group and this difference was statistically significant (p<0.005).

CONCLUSION

Overall, the Whitacre 27 G needle has better results with respect to PDPH.

KEYWORDS

Post Dural Puncture Headache; Sub-Arachnoid Block; Quincke Needle; Whitacre Needle.