None listed
Conditions
Brief summary
Spinal anesthesia has many advantages as compared to general anesthesia but one of its distressing disadvantage is Post Dural Puncture Headache. Its frequency is directly related to the diameter and type of bevel of the needle. The optimum size for spinal anesthesia is 25G,26G,27G needles. The rationale of the currently designed study is to determine the efficacy and safety of 27G vs 25G Quincke spinal needle in prevention of PDPH in women undergoing elective caesarian section after spinal anesthesia.
Interventions
During the procedure all ethical and hospital protocols will be followed. After proper counselling, preparation and monitoring according to local protocols, an injection of 3ml of lidocaine 2% local anesthetic will be given at injection site five minutes before spinal anesthesia.
Patients with ASA 2 classification for elective caesarian section are divided into two groups ;Group A (Intervention Group) will receive spinal anesthesia with 27G Quincke needle for elective caesarian section and group
During the procedure all ethical and hospital protocols will be followed. After proper counselling, preparation and monitoring according to local protocols, an injection of 3ml of lidocaine 2% local anesthetic will be given at injection site five minutes before spinal anesthesia. Patients with ASA 2 classification for elective caesarian section are divided into two groups ;Group A (Intervention Group) will receive spinal anesthesia with 27G Quincke needle for elective caesarian section and group B (Comparator group) will receive spinal anesthesia with 25G Quincke needle for elective caesarian section by a consultant anesthetist, around fifteen minutes prior to surgery. Patients will be observed for Post Dural Puncture headache for the next 72 hours.
Sponsors
Khyber Medical College
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Diagnosis
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
All ASA 2 elective caesarian sections admitted through Out patient department in designated hospital who consented and have no contraindications to spinal anesthesia and consented for this study.
Exclusion criteria
1.ASA 3 and 4 patients for elective caesarian section. 2..Emergency caesarian sections. 3.Those who have history of Post Dural puncture headache, migraine or any other space occupying lesions associated with headache.
Outcome results
None listed