Mansab Amin Chaudhry, Rizwan Zafar Ahmad, Zulfiqar Ali Qureshi.
Postdural puncture headache comparative study between 25 guage pencil point needle and 25 gauge quincky needle.
Pak J Med Health Sci Jan ;5(1):50-4.

Objective: To discover if spinal anaesthesia with 25 guage pencil point needle produces postdural puncture headache in fewer patients than 25 guage Quincke needle. Place of study: Department of Anaesthesia, Nawaz Sharif social security hospital, Lahore. Material & methods: Two hundred patients from different surgical departments of Nawaz Sharif Social Security Hospital Lahore having different surgical procedures on lower abdomen and lower limbs like hernias, amputations, debridements, TURP, vesicolithotomy, DHS, total hip replacements, tibial nailing or plating, external fixators, caesarian sections and hystrectomies were included in this study. The patients of either sex between the age of 18-80 years (ASAI-II) were selected after obtaining proper consent and procedure explained to them. Results: Two groups consisting 100 patients each were randomly chosen. There was no statistically significant difference between these groups with respect to age, height and weight having p value as (P 0.012 and 0.002) respectively. The percentage of patients expressed no pain at all was 96% in group-Q and 98% in group-P. One male patient aged 55 years group-Q suffered moderate postural headache on first day. Postoperatively moderate postural headache required bed rest limiting daily activities and required only analgesic to subside pain. Conclusion: Spinal anaesthesia is picking up popularity once again in the modern anaesthetic time. Since the introduction of spinal anaesthesia headache had remained a well recognized complication and was considered to be a small price to pay for the excellent anaesthesia produced by the spinal block.

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