Health Condition 1: 1- Obstetrics
Conditions
Interventions
Intervention1: 25G Quincke and 25G Whitacre needle: to compare incidence,onset,severity, duration of Postdural puncture headache
Intervention2: spinal anaesthesia in caesarean section: PDPH in caesare
Sponsors
IPGMER AND BIN
Eligibility
Inclusion criteria
Inclusion criteria: on 324 obstetric patients(162 in each group) between 18 to 35 yrs of age belonging to ASA physical status I and II posted for caesarean section under subarachnoid block
Exclusion criteria
Exclusion criteria: 1. Patients refusal 2. Patients with history of frequent headache or migraine 3. coagulation profile deranged 4. infection on the back 5. anticoagulant therapy 6. Spinal cord deformity/ previous spinal surgery 7. neuromuscular diseases (myopathies and neuropathy) 8. Hypovolemia 9. acid base disturbances and electrolyte imbalance 10. acute obstetrics emergency e.g. Fetal distress eclampsia 11. Patients requiring more than one attempt of lumbar puncture and we forgot to repositioned the Quincke needle during withdrawal, all the cases of failure, dural puncture was achieved but inadequate or patchy subarachnoid block
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Both 25G Quincke and Whitacre needle can be used for spinal anaesthesia in obstetric patient as there is no significant difference in onset, duration, severity, location and incidence of PDPH. However 25G Quincke needle is technically easier for insertion and significantly low price. Therefore, 25G Quincke needle can be used for spinal anaesthesia in obstetrics patients with bevel of the needle parallel to the dural fibers both during insertions and withdrawl.Timepoint: outcome will be measured within intraoperative period,6hrs of postoperative period upto 4days of postoperative period | — |
Secondary
| Measure | Time frame |
|---|---|
| nausea, vomiting, diplopia, tinnitusTimepoint: 4 days POP | — |
Countries
India
Contacts
Public ContactDr PRIYANKA MONDAL
I.P.G.M.E.R. AND B.I.N
Outcome results
None listed