Incidence of Post Dural puncture headache among obstetric and non obstetric surgical patients: A prospective study
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 8, Pages 3263-3270
AbstractAim: To evaluate the incidence of post dural puncture headache(PDPH)after spinal anaesthesia among obstetric and non obstetric patients.
Materials and Methods: After approval by the Institutional Ethics committee, a total of 60 female patients of ASA status I or II (30 obstetric and 30 non-obstetric) undergoing electivelower abdominal surgery under subarachnoid block were included under the study after obtaining informed consent. Obstetric patients (n=30) who underwent elective caesarean section and non obstetric female patients(n=30) who underwent lower abdominal surgery were included in the study. All patients received spinal anesthesia with 25G quincke needle (Bbraunspinocan) in L3/L4 space. Procedure duration, number of spinal puncture attempts and incidence of PDPH were recorded.
Results: There was no significant difference in the duration of procedure and the number of spinal puncture attempts between both the groups. 12 out of 30 obstetric patients and 5 out of 30 non obstetric patients developed PDPH respectively.
Conclusion: PDPH incidence in obstetric patientswas higher than non obstetric patients with similar severity in both the groups
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