Prevalence of Headache after Dural Puncture using Different Size Quincke Spinal Needles in Participants Undergoing Cesarean Section: A Cross-Sectional Study

Abstract

Aim: To determine the prevalence of headache after dural puncture using different size quincke spinal needles in participants undergoing cesarean section

Study design: A cross-sectional study

Place and Duration: This study was conducted at Tawam hospital Al ain United Arab Emirates from March 2020 to April 2021

Methodology: The study comprised 100 participants with ASA I and II who were receiving elective SCS and were between the ages of 18 and 35 years. They were divided into three groups at random: Group 1- 25G, Group II-26G, and Group III-27G. The number of people who attempted to locate the subarachnoid space was recorded. Patients were kept in the clinic until they were discharged, and the occurrence, severity, and duration of post-dural puncture headache (PDPH) were reviewed.

Results: In individuals with PDPH-like symptoms, the Visual Analogue Scale was used to gauge the severity of the pain. Documentation and statistical analysis of PDPH's occurrence, severity, and intensity were all carried out. Big bore spinal needles and several dural punctures, enhance the occurrence of PDPH in women.

Conclusion: With large-bore Quincke spinal needles, Post-dural Puncture Headache is more common, more intense, and more severe. As a consequence, to limit the incidence of PDPH, we recommend using micro bore needles with a diameter of 27 G or less during cesarean procedures.