Incidence of Post Dural Puncture Headache in Our Set Up with Quincke Spinal Needle: An Observational Crossectional Study

Authors

  • Swapnil Meshram1 , Pratibha Deshmukh2 , Parag Sabale1 , Nandkishor Bankar3 , Vijay C. Chandak

DOI:

https://doi.org/10.37506/ijfmt.v14i4.12587

Keywords:

Spinal Anaesthesia, Post dural puncture headache, Quinke spinal needle

Abstract

Introduction: Post-dural puncture headache (PDPH) is an iatrogenic complication associated with spinal
anaesthesia. The occurrence of PDPH is determined by different factors. They are sex, age, pregnancy, past
PDPH history, needle tip shape and needle size, bevel orientation, number of attempts, and approach used
for lumbar puncture. We conducted the present study to find the incidence of PDPH.
Material and Method: After ethics committee approval, we observed 500 patients who had undergone
surgery for lower abdomen and lower limb. Patients were randomly divided in Group A and Group B 250
patients in each group and received spinal anaesthesia via 23 and 25 quincke spinal needle respectively.
They were followed post operatively regularly for development of any signs and symptoms of post dual
puncture headache, which was end point of study.
Results: Out of 500 patients 6 patient developed PDPH. The incidence was 1.2%. There was no statistically
significance with sex, number of attempts and guage of spinal needle.
Conclusion: In our series the incidence was 1.2% which is far less than other studies. Taking into
consideration cost effectiveness & success rate we feel that in our setup we can continue with use of 23 &
25-gauge quincke needle.

Author Biography

  • Swapnil Meshram1 , Pratibha Deshmukh2 , Parag Sabale1 , Nandkishor Bankar3 , Vijay C. Chandak

    1
    Assistant Professor, 2Professor and HOD, Dept. of Anesthesiology Datta Meghe Medical College, Shalinitai
    Meghe Hospital and Research Centre, (DMIMS), Nagpur-441110, 3Assistant Professor, Dept. of Microbiology
    Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe) Wardha-442001,
    4
    Associate Professor, Dept. of Anaesthesiology Jawaharlal Nehru Medical College, Datta Meghe Institute of
    Medical Sciences, Sawangi (Meghe) Wardha-442001.

Downloads

Published

2020-10-29

How to Cite

Incidence of Post Dural Puncture Headache in Our Set Up with Quincke Spinal Needle: An Observational Crossectional Study. (2020). Indian Journal of Forensic Medicine & Toxicology, 14(4), 6303-6309. https://doi.org/10.37506/ijfmt.v14i4.12587