IMPACT OF SIZE OF THE SPINAL NEEDLE ON THE INCIDENCE AND SEVERITY OF POST SPINAL HEAD ACHE

Swarnalatha MC, Ramakrishna HK

Abstract


Aims and Objectives:

To study the effect of different sizes of spinal needles on

1. The incidence of post spinal head ache.

2. Severity of post spinal headache.

Synonyms:

Post lumbar puncture head ache (PLPHA), Post Dural puncture head ache (PDPHA), Post spinal head ache (PSHA).

Abstract:

Post spinal head ache is a common problem after dural puncture for either diagnostic CSF tap or for subarachnoid block for anesthesia. Sometimes it is so severe as to cause suspicion of meningitis. At times so incapacitating that patient cannot get up. Many times it increases hospital stay. Overall, it increases the morbidity and cost of treatment. Various methods are advised for the prevention of head ache after dural puncture. One of them is to use finer spinal needles. We undertook a randomized controlled (23G as control) double blind study to test if finer spinal needles produce lesser incidence of post spinal head ache. Though plenty of articles are available on study of types of needles, there are not many articles comparing different needle sizes. So we undertook this study.


Keywords


Post lumbar puncture head ache, Post Dural puncture head ache, Post spinal head ache, Spontaneous Intracranial Hypotension (SIH), 23 G spinal needle, 26 G Spinal needle.

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References


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