Khalid Rafique, Muhammad Saeed, Iftikhar Ahmad Chaudhry, Shahid Mahmood, Muhammad Tamur, Tanveer Sadiq, Abdul Qayyum.
Post Spinal Headache (PDPH), Spinal Headache, Spinal Needle.
Pak J Med Health Sci Jan ;8(3):774-7.

Aim: To compare the frequency of postdural puncture headache (PDPH) using 25 and 27 gauge Quincke needles in a population of young patients undergoing caesarian sections under general anesthesia. Methods: It was a prospective interventional study in which ninety patients were divided into two groups. Patient’s age, ASA classification, nature of surgery (elective or emergency) and position (sitting or lateral decubitus) during induction of spinal anesthesia were recorded. The patients were interviewed first through third post-operative days about the occurrence of headache and their satisfaction regarding spinal anesthesia. Conclusion: t was found that the proportion of patients with PDPH after 25 gauge Quincke needle was significantly more than those with 27 gauge Quincke.

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