Asad Khan, Muhammad Idrees, Niaz Ali, Muhammad Irfan Rafi.
Post dural puncture headache after spinal anesthesia, comparison between 22 gauge and 25 gauge whitacre spinal needles in elective caesarean section.
Ann Allied Health Sci Jan ;6(2):62-5.

Objective: To determine the incidence and risk factor of Post Dural Puncture Headache after Spinal Anesthesia in patients presented for elective caesarean section. Methods: This cross-sectional study was conducted at District Head-Quarter (DHQ) Hospital, Bathkhela. We used convenience sampling for sample collection in hospital. In this study, those patients were included who underwent Caesarean Section (CS) under spinal anesthesia at gynecology department of DHQ Bathkhela. Results: A total of 198 patients were studied in which 32.3% (n=64) patients underwent spinal anesthesia with 22 gauge spinal needle while 67.7% (n=134) underwent spinal anesthesia with 25 gauge spinal needle. The overall occurrence of post puncture headache was 11.11% (n=22). The incidence of post puncture headache with 22 gauge spinal needle was 26.56% (n=18) while it was 2.98% (n=4) with 25G spinal needle. Conclusion:This study suggested that the incidence of post puncture headache was higher with 22G as compared to 25 G Whitacre spinal needle.

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