A randomised clinical trial to compare the post dural puncture headache following spinal anaesthesia using 27G Quincke’s and 27G Whitacre’s spinal needles
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
Background and Objectives: Spinal anaesthesia is one of the most commonly used technique in anaesthesia. It is economical, safe, cost effective, easy, needs less sophisticated anaesthetic equipment, drugs, post operative care hence preferred over general anaesthesia and most popular because of its profound analgesia and muscle relaxation. Objectives of the present study were to know the incidence of post dural puncture headache (PDPH), number of attempts for successful sub arachnoid block and incidence of failed spinal anaesthesia by using 27 G Quincke’s and Whitacre’s spinal needles. Methodology: This one year randomized clinical trial was conducted in the Department of Anaesthesiology, 400 patients between 20 to 60 years of age with ASA grade I and II undergoing lower abdominal and lower limb surgeries during the study period. The Institutional Ethical Clearance and written informed consent from patients was obtained the incidence of PDPH, number attempts and failed spinal anaesthesia were assessed. Results: In this study female preponderance was seen. Significantly high incidence of PDPH was recorded in Quincke group (3.98%) as compared to 0.57% in Whitacre group (p=0.031). Significantly less number of attempts were required using Whitacre 27 G needle (p=0.0001). Failed rates were higher in patients using Whitacre 27 G needle as compared Quincke 27 G needle (3.98% versus 2.84%). Conclusion: Overall the Whitacre 27 G needle has better results with respect to PDPH and number of attempts required for successful subarachnoid block whereas the incidence of failed spinal anaesthesia was less with Quincke 27 G needle.
Authors and Affiliations
P Savanth Kumar, Pogaku Gopi Krishna, G S Nikilesh Kumar
Keywords
Related Articles
- EP ID EP260994
- DOI -
- Views 182
- Downloads 0
Reasons of cancellation of elective cases on the day of surgery - A retrospective study
Background and Aim: Hospitals invest major resources in maintaining and arranging Operation rooms, appointing anaesthetists, Operating surgeons, and OT staff to run an institute. But unindicted cancellation or postponeme...
A comparative study on two doses of clonidine 45mcg Vs 60mcg added to 0.5% hyperbaric bupivacaine given intrathecally for infra umbilical surgeries
Background: This study was designed to evaluate the addition of two doses of clonidine ( 45 µg and 60µg) added to hyperbaric bupivacaine (0.5%) 2.75ml in spinal anaesthesia for sub umbilical surgeries. Aim of Study: Time...
Effect of carbon dioxide pneumoperitoneum on acid base balance during laparoscopic surgeries
Background: Carbon dioxide is the most commonly used gas to induce pneumoperitoneum during laparoscopic surgeries, as CO2 levels in blood and expiratory gas can be easily measured and monitored. However, insufflations of...
Comparative study of intrathecal fentanyl and dexmedetomidine as adjuvant with isobaric ropivacaine in spinal anaesthesia for vaginal hysterectomy
Background: Women have problem of Pelvic organ prolapsed (POP) in letter years of their life and it adversely effects their life quality. Hence they may require surgical intervention to correct the prolapse. For this su...
Study of seasonal prevalence of dengue fever and it’s management according to the WHO guidelines (2012)
Background: Dengue is most rapidly spreading mosquito borne viral disease of mankind, with increase in global incidence over last five decades. According to WHO 2012 criteria it is classified as Dengue fever, Dengue with...