POST DURAL PUNCTURE HEADACHE; COMPARISON OF 25 AND 27G SPINAL NEEDLES IN UROLOGICAL PATIENTS

Objective: To compare the spinal needles of 25 and 27 gauges for the frequency of postdural puncture headache after
spinal anaesthesia in young patients under going urological procedures.
Study Design: Cross sectional-comparative study.
Place and duration of study: Department of Anaesthesia. Institution of kidney disease. Hayatabad Medical Complex,
Peshawar from June 2008 to December 2008.
Patient and Methods: 100 patients, fulfilling the American society of Anasethesiologist (ASA) I and II ,were included
in the study and the results of PDPH in both groups were compared and chi square test was applied. The level of
significance was significant, if p value was less than 0.05.
Results: Post dural puncture headache was observed in 30% in group A and 14% in group B. Female patients had a
higher frequency of PDPH in both groups.
Conclusions: The frequency of post dural puncture headache (PDPH) was less in higher gauge of spinal needles and
more frequent in females than males.
Key Word: Spinal anesthesia. Post dural puncture headache. Caesarian section, Spinal needle.