COMPARATIVE STUDY OF POST-DURAL PUNCTURE HEADACHE USING TWO TYPES OF NEEDLES QUINCKE'S AND WHITACRE

• Published in: Journal of evolution of medical and dental sciences Vol. 5; no. 32; pp. 1707 - 1709
• Main Authors: Kanojiya, Sumitra, Mehta, Vibha, Jadhav, V.P
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 21.04.2016
• Subjects: Analysis; Anesthetics; Headache; Pain management
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2016/402

BACKGROUND Post-dural puncture headache has been a problem following dural puncture since August Bier reported the first case in 1898. Occurrence of PDPH is influenced by age, sex, needle size, needle tip design and number of dural puncture. MATERIAL AND METHODS A total of 200 patients were studied and divided into two groups. Group "Q" (n=100) where dural puncture was carried by using Quincke's needle (25 G) and group "W" (n=100) where dural puncture was carried by using Whitacre needle (25 G). We obtained the approval of ethical committee. OBSERVATIONS AND RESULTS The rates of PDPH were statistically different between both the groups; 7% patients developed PDPH in group "Q" and 0% in group "W." The intensity was mild in 1% of patients, moderate in 4% of patients and severe in 2% of patients in group "Q." DISCUSSION In spite of using small bore needle (26 G), PDPH still occurs. So present study compares the incidence of PDPH by using Quincke's and Whitacre needle, keeping the needle size same. KEYWORDS PDPH, Quincke's Needle, Whitacre Needle, Post-Dural Puncture Backache (PDPB).