TO COMPARE THE INCIDENCE OF POST DURAL PUNCTURE HEADACHE WITH PENCIL POINT 25 GAUGE WHITACRE VERSE CUTTING 25 GAUGE QUINCKE SPINAL NEEDLE IN PATIENTS FOR C SECTION UNDER SPINAL ANAESTHESIA

ABSTRACT Objective: To compare the incidence of post dural puncture headache with pencil point 25 gauge Whitacre verse cutting 25 gauge Quincke spinal needle in patients for C section under spinal anaesthesia. Study Design: Randomized controlled trial. Place and Duration of Study: Operation Theatre, Department of Anaesthesia, Combined Military Hospital Lahore, from Nov 2015 to May 2016. Methodology: All patients with ASA status-I or II, undergoing elective C section surgeries were included in the study. Patients assigned to Group W was administered spinal anesthesia by using 25 gauge Whitacre pencil point needle at the level of L3,L4 space while patients assigned to Group Q was administered spinal anesthesia by using 25 gauge Quincke needle at the level of L3, L4 space. Patients were observed for PDPH in the recovery room and then in the ward 6 hourly till 72 hours. All the data was entered and analyzed on SPSS version 10. Results: In our study the mean age of the patients was 24.29 ± 3.78 years. The PDPH was observed in 33(19.41%) patients. The mean value of VRS score after 6th hour was 2.92 ± 2.29, after 12th hour its mean value was 2.93 ± 2.28, its mean value after 18th hour was 2.93 ± 2.29 and the mean value of VRS after 24th hour was 3 ± 2.35, the mean value of VRS score after 36th hour was 2.93 ± 2.385, after 48th hour its mean value was 2.89 ± 2.269, its mean value after 60th hour was 2.99 ± 2.484 and the mean value of VRS score after 72th hour was 3.02 ± 2.475. Conclusion: It has been proved in our study that significantly lower incidence of PDPH was noted in 25 G whitacre group patients as compared to 25 G quincke spinal needle in patients for c section under spinal anesthesia.