FREQUENCY OF POST DURAL PUNCTURE HEADACHE WITH 25G QUINCKE NEEDLE IN PATIENTS SCHEDULED FOR ORTHOPAEDIC SURGERY UNDER SPINAL ANAESTHESIA

Authors

  • Muhammad Tayyeb Department of Anesthesia, Medical Teaching Institutions, Bacha Khan Medical College, Mardan, Pakistan.
  • Muhammad Arsalan Department of Anesthesia, Rehman College of Allied Health Sciences, Peshawar, Pakistan.
  • Syed Arshad Ullah Department of Cardiology, Medical Teaching Institutions, Bacha Khan Medical College, Mardan, Pakistan.
  • Waqar Ali Department of Community Medicine, Northwest School of Medicine, Peshawar, Pakistan.
  • Salman Malik Department of Anesthesia, Mardan Medical Complex, Mardan, Pakistan.
  • Iftikhar Uddin Department of Community Medicine, Bacha Khan Medical College, Mardan, Pakistan.
  • Siti Khuzayiah Midwifery Program, Faculty of Health Sciences, Universitas Muhammadiyah Pekajangan Pekalongan, Central Java, Indonesia.

DOI:

https://doi.org/10.33279/jkcd.v12i04.6

Abstract

Objectives: To determine PDPH frequency among patients scheduled for orthopaedic surgery
after spinal anaesthesia with a 25G Quincke needle.
Materials and Methods: A 25-G Quincke needle was used to give standard spinal anaesthesia. The participant was 196 patients who underwent orthopaedic surgery at Mardan Medical
Complex. The study enrolled all patients who met the inclusion criteria. Patients with infectious
diseases, coagulopathy, severe hypovolemia elevated intracranial pressure were excluded from
this study. On postoperative days the patients were examined for the existence, features, and
severity of headache. Only posture-dependent headaches were classifi ed as PDPH, with severity
levels ranging from mild to severe.
Results: The mean age of observed participants was 41.17 (± 15.5). The prevalence of PDPH
after administering 25G Quincke spinal needles was 29.5% (58/196. Mild PDPH was observed in
32(55.1%) patients, in 23 (39.6%) patients moderate and severe in 3(5.1%) patients. It appeared
in the majority of PDPH patients during the fi rst and second postoperative days. There was a
signifi cant (p<0.05) association between PDPH status and the number of attempts to obtain
Cerebrospinal Fluid.
Conclusion: When a 25G Quincke spinal needle was used, the frequency of PDPH was substantially higher. The low rate of severe headaches and the number of attempts to acquire CSF aff ect
the status of PDPH.

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Published

— Updated on 2022-12-31

How to Cite

Tayyeb, M., Arsalan, M., Arshad Ullah, S., Ali, W., Malik, S., Uddin, I., & Khuzayiah, S. (2022). FREQUENCY OF POST DURAL PUNCTURE HEADACHE WITH 25G QUINCKE NEEDLE IN PATIENTS SCHEDULED FOR ORTHOPAEDIC SURGERY UNDER SPINAL ANAESTHESIA. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 12(04), 14–20. https://doi.org/10.33279/jkcd.v12i04.6

Issue

Vol. 12 No. 04 (2022): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2022 Muhammad Tayyeb, Muhammad Arsalan, Syed Arshad Ullah, Waqar Ali, Salman Malik, Iftikhar Uddin, Siti Khuzayiah

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