Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Post‐dural puncture headache (PDPH) frequently occurs as a result of unintentional puncture of the dura mater. Risk factors encompass female gender, youth, pregnancy, vaginal childbirth, low body mass index and non‐smoking status. This study aims to compare the incidence of Post Dural Puncture Headache (PDPH) across different sizes of spinal needles, specifically 23G, 25G and 26G. The objective is to assess the following. The objective is to evaluate and compare the occurrence of post‐dural puncture headache (PDPH) associated with different sizes of Quincke spinal needles, as well as to analyze the severity of PDPH associated with these needle sizes. This study is a randomized comparative trial that included 75 individuals ranging in age from 15‐69 years. These patients were scheduled to undergo surgery on their abdomen and lower limbs. The patients were assigned at random to three groups, with each group consisting of 25 patients. Group A is using a 23G spinal needle, Group B is using a 25G spinal needle and Group C is using a 26G spinal needle. Prior to the procedure, a comprehensive assessment of the patient was conducted, which included obtaining their medical history, performing a general examination and conducting a systemic evaluation along with all necessary investigations. The patient’s condition was monitored at intervals of 6, 12, 18, 24 and 48 hrs to assess their symptoms of headache, nausea, vomiting and sensitivity to light. The intensity of the headache is categorized, employing a modified Lybecker classification, as follows. Mild Post‐Dural Puncture Headache (PDPH), Moderate PDPH and Severe PDPH. The occurrence rate of post‐dural puncture headache (PDPH) is 28% in Group A (23G), 12% in Group B (25G) and 4% in Group C (26G). The association with post‐dural puncture headache (PDPH) among each group exhibits a statistically significant difference (p<0.05). Out of the 11 patients, 1 patient in Group C (26G) experienced a mild headache, while in Group B (25G), 2 patients had light headaches and 1 patient had a moderate headache. In Group C (23G), there were 4 cases of mild headaches, 2 cases of moderate headaches and 1 instance of severe headache. The occurrence of post‐dural puncture headache (PDPH) was much lower when using a 26G quincke’s spinal needle compared to both 23G and 25G quincke’s spinal needles. Our study found that females have a higher prevalence of post‐dural puncture headache (PDPH) compared to males, however this difference is not statistically significant.
How to cite this article:
Neel Rana, Devarsh Thakar, Sravya Vemuri and Nirali Joshi. Comparative Study of Incidence of Post‐Dural Puncture Headache Using 23g, 25g and 26g Spinal
Needle.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.219.223
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.219.223