INCIDENCE OF POSTDURAL PUNCTURE HEADACHE: A STUDY WITH 25G QUINCKE NEEDLE IN PATIENTS UNDERGOING CAESEREAN SECTION UNDER SPINAL ANAESTHESIA

CORRESPONDING AUTHOR:
Dr. Uma R. B,
Assistant Professor,
Department of Anesthesiology,
Belgaum Institute of Medical Sciences,
Belgaum-590001.
Email: r.b_uma@yahoo.in

ABSTRACT: Spinal anesthesia is the most commonly performed anesthesia technique in patients undergoing cesarean sections. Postdural puncture headache (PDPH) is one of the common complications following spinal anesthesia more so in in obstetric patients. It is preventable complication, hence the study is undertaken to know the incidence of PDPH in patients undergoing cesarean sections.100 patients belonging to ASA grade I & II, age group ranging from 20-40 years who are subjected to LSCS considered for the study. Patients with acute or chronic headache, otolaryngeal, ophthalmic and neurological problems are excluded from this study. Study is conducted in District hospital attached to Belgaum Institute of Medical Sciences. 0.5% Bupivacaine hydrochloride is injected at L3-L4 level using 25G Quincke needle. In the postoperative period only 3% of cases developed PDPH.2 patients had mild headache and one patient developed moderate headache with vomiting, which was managed by analgesic oral paracetamol, antiemetic ondansetron and fluids.

KEYWORDS: Spinal anesthesia, LSCS, Postdural Puncture headache (PDPH), 25Gauge Quincke needle.