Comparative Study between 25 Gauge Spinal Needle (Quincke) versus (pencil point) As Regarding incidence of Post Dural Puncture Headache

Abstract

Abstract Background PDPH can affect patients’ functional recovery and comfort, both are critical factors for patients who expect to resume their daily activities as soon as possible. Especially obstetric patients who will be responsible for a new child. Objective The aim of this study is to assess the incidence of PDPH by using the same 25gauge spinal needle but with two different shapes pencil point versus quincke. Patients and Methods The study was conducted on 60 randomly chosen patients full filling inclusion criteria in Matarya teaching hospital after approval of the medical ethical committee. They were allocated in two groups of 30 patients each: Group(A) 25 gauge spinal needle (quincke) is used. Group (B) 25 gauge spinal needle (pencil point)is used. The two groups were adequately monitored and assessed intra- and post-operatively and they were compared in vital data as regarding HR, SBP, DBP and the development of PDPH, if developed classified into mild, moderate and severe and assessment of backache. Results The results of this study revealed that patients in the study group(A) had more incidence of PDPH 10% compared to 0% in group (B) although still no significant statistical deference but still non beveled spinal needle have lower rates of incidence than quincke (beveled ) spinal needles. Also we found 5 patients out of 30 (16.7%) suffered from backache in group A and one patient (3.3%) suffered from mild backache in group B. Conclusion Our study suggests that the use of non beveled spinal needles lead to less incidence rates of PDPH. The frequency and severity of PDPH was higher in 25G cutting spinal(quincke) needle group as compared to non cutting (pencil point)needle. For spinal anesthesia.