Incidence of Postdural Puncture Headache after Caesarean Section Comparison Between 25G and 27G Quincke Variety of Spinal Needle

Rahman, Afzalur; Alam, Abm Muksudul; Mandal, Muhammad Alamgir; Kamruzzaman, Mostofa; Kabir, Asraful; Begum, Sharmin; KARMAKAR, C.

doi:10.3329/kyamcj.v7i2.33832

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…21 Rahman et al (2017) 6.7% frequency of PDPH with with 27G Quincke needle and 16.7% with 25G Quincke needle. 22 In our study, at the completion of the study, patients that had received spinal anaesthesia with 25 G needle (28%) had high PDPH in comparison with other group who received it with 27G needle (8%) and had statistical significance. There are some other studies which have compared the frequency of PDHD by using two different sizes of the needles.…”

Section: Discussionmentioning

confidence: 53%

Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Spinal Needle after Spinal Anaesthesia

Gulsher¹,

Zahid²,

Ali³

et al. 2021

PJMHS

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Objective: To compare the frequency of post dural puncture headache with Quincke 25G and Quincke 27G of spinal needles for spinal anesthesia. Design of the Study: It’s a Randomized control trial. Study Settings: This study was carried out Department of anesthesiology and Intensive Care Unit, Shaikh Zayed Hospital Lahore from 29-08-2020 to 01-03-2021. Material and Methods: In this prospective study 100 patients were enrolled who were decided to undergo spinal anesthesia. Two groups were made by randomization. In patients of group I, anesthesia was administered by using 25G quincke needle while 27G quincke needle was used for patients in group II. Evaluation of patients was with regard to development of postoperative PDPH within 3-days. Groups were compared by using Chi-square test and a P-value<0.05 was taken statistically significant. Results of the Study: PDHD was seen in 14 (28%) patients in group I and in 4 (8%) patients in group II. Statistically, the difference between the two groups was significant (p<0.05).. Conclusion: Due to less frequency of PDPH with 27G needle, it should be given preference for applying spinal anesthesia over 25G needle. Keywords: Spinal anesthesia, post dural puncture headache; quincle needle.

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Section: Discussionmentioning

confidence: 53%

Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Spinal Needle after Spinal Anaesthesia

Gulsher¹,

Zahid²,

Ali³

et al. 2021

PJMHS

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“…They found incidence of headache 16.7% in 25 guage patients and 6.7% in 27 guage patients. 19 Another study conducted by Anirudh and colleagues reported 26% incidence of PDPH using 25-G Quincke needle as compared to 27-G needle in full term parturients admitted for elective caesarean section. 20 Anisul Islam documented 12% incidence of post dural puncture headache in 25-G Quincke group and 2% in the 29-G Quincke group while incidence of failure of spinal anaesthesia was more with 27-G needle as compared to 25 guage i.e.…”

Section: Discussionmentioning

confidence: 99%

Comparison of post-dural puncture headache incidence among patients undergoing spinal anaesthesia for elective caesarean section by using quincke 25-G and 29-G spinal needles

et al. 2021

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Background: Multiple complications including hypotension, nausea, vomiting, urinary retention, transient neurological symptoms and headache have been associated with spinal anaesthesia. Importantly, post dural puncture headache (PDPH) varies with the type and size of spinal needle employed for inducing anaesthesia. Here, we aimed to compare the frequency of PDPH in patients underwent spinal anaesthesia for elective caesarean section using 25-gauge (G) and 29-G Quincke spinal needle.Methods: We designed a randomized control trial at Obstetrics and Gynecology Operation Theatres, Jinnah Hospital, Lahore. A total of 152 patients having age 30.28±8.21 years were enrolled in the study and divided into two groups each comprising of 76 patients. In group 1, spinal anaesthesia was performed using 25-G Quincke spinal needle while in group 2 spinal anaesthesia was administered employing 29-G Quincke spinal needle. A standard dose of 10.5-12.0 mg (1.4-1.6 ml) of 0.75% bupivacaine is infiltrated in subarachnoid space at lumber region L3-L4 or L4-L5 following aseptic measures. The patients were evaluated for PDPH during the follow up period.Results: The previous history of PDPH was observed in 20.39% patients. The comparative study showed that the PDPH was observed in 12 (15.7%) patients in group 1 while the group 2 revealed PDPH in only 2 (2.6%) patients.Conclusions: Thus 29-G spinal needle can be regarded as a better option to reduce PDPH in patients subjected to spinal anaesthesia for elective cesarean in contrast to the use of 25-G Quincke spinal needle.

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Comparative study on the effects and complications of transverse insertion of two fine gauge quincke's spinal needles 26 and 29 G in spinal anesthesia

Bansal

Varghese²,

Wahi

et al. 2023

Acta Med Int

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Incidence of Postdural Puncture Headache after Caesarean Section Comparison Between 25G and 27G Quincke Variety of Spinal Needle

Abstract: Background: Post dural puncture headache is related to the size as well as type of the spinal needle used 90 . It is

Cited by 3 publications

References 6 publications

Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Spinal Needle after Spinal Anaesthesia

Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Spinal Needle after Spinal Anaesthesia

Comparison of post-dural puncture headache incidence among patients undergoing spinal anaesthesia for elective caesarean section by using quincke 25-G and 29-G spinal needles

Comparative study on the effects and complications of transverse insertion of two fine gauge quincke's spinal needles 26 and 29 G in spinal anesthesia

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