COMPARISON OF 25 G WHITACRE AND QUINCKE SPINAL NEEDLES FOR INCIDENCE OF POST-DURAL PUNCTURE HEADACHE

NA MALIK; NAK CHOUGLE; AR ALAMGIR; S SHAFIQ; HFU ISLAM; A FARAZ; F ASHFAQ

doi:10.54112/bcsrj.v2023i1.462

Authors

NA MALIK Department of Anesthesia, Corniche Hospital Abu Dhabi
NAK CHOUGLE Department of Anesthesia, Corniche Hospital Abu Dhabi
AR ALAMGIR Department of Anaesthesia, Aziz Fatima Medical Hospital Faisalabad, Pakistan
S SHAFIQ Department of Anaesthesia, Faisalabad Medical University Faisalabad, Pakistan
HFU ISLAM Department of Anaesthesia and ICU, Services Hospital Lahore, Pakistan
A FARAZ Department of Accident and Emergency, Shaikh Zayed Hospital Lahore, Pakistan
F ASHFAQ Department of General Surgery and Surgical Oncology, Shaikh Zayed Hospital Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.462

Keywords:

Spinal anesthesia, Post dural puncture headache, Spinal needles,

Abstract

The retrospective study was conducted in tertiary care hospital from June 2022 to December 2022 to compare the severity and incidence of PDPH in patients administered spinal anesthesia for lower limb and lower abdominal surgeries using 25G Whitacre and 25G Quincke needles. A sample size of 140 70 in each of the two groups (group Quincke and group Whitacre) was included in the study. Results showed that 11 (15.7%) patients in group Quincke and 1 (1.4%) patient in group Whitacre had PDPH (P=.009). Females had a higher incidence of PDPH (P=0.018). Of 12 patients, 11 had mild, and 1 had moderate PDPH. 11 patients in group Whitacre and 3 in group Quincke had failed spinal anesthesia. 25G Whitacre spinal needles showed lower incidence and severity of post-dural puncture headache than 25G Quincke spinal needles.

Downloads

Download data is not yet available.

References

Al-Hashel, J., Rady, A., Massoud, F., and Ismail, I. I. (2022). Post‐dural puncture headache: a prospective study on incidence, risk factors, and clinical characterization of 285 consecutive procedures. BMC neurology 22, 261.

BALUSAMY, D., KHOIROM, S., CHARAN, N., NAHAKPAM, S., DEVI, N. J., DIVYABHARATHI, S., DEVI, L. R., and ALI, M. A. (2022). Incidence and Severity of Postdural Puncture Headache following Subarachanoid Block using 25G Quincke and 25G Whitacre Spinal Needles: A Double-blinded, Randomised Control Study. Journal of Clinical & Diagnostic Research 16.

Baral, P. P., Pathak, L., Udaya, R. K., Lawoju, A., Pokhrel, S., and Gupta, P. K. (2021). Post Dural Puncture Headache After Elective Caesarean Section Using 27 G Quincke and Whitacre Spinal Needles: A Comparative Study. Journal of Universal College of Medical Sciences 9, 4-8.

Bein, B., and Renner, J. (2019). Best practice & research clinical anaesthesiology: advances in haemodynamic monitoring for the perioperative patient: perioperative cardiac output monitoring. Best Practice & Research Clinical Anaesthesiology 33, 139-153.

Boyacı, S., Onay, M., and Güleç, M. S. (2023). Optic nerve sheath diameter measurement for prediction of postdural puncture headache. Journal of Clinical Monitoring and Computing, 1-8.

Cognat, E., Koehl, B., Lilamand, M., Goutagny, S., Belbachir, A., de Charentenay, L., Guiddir, T., Zetlaoui, P., Roos, C., and Paquet, C. (2021). Preventing post-lumbar puncture headache. Annals of emergency medicine 78, 443-450.

Desai, N., Kirkham, K., and Albrecht, E. (2021). Local anaesthetic adjuncts for peripheral regional anaesthesia: a narrative review. Anaesthesia 76, 100-109.

Domingues, R., Giafferi, C., Vega, M., Salomão, D., and Senne, C. (2023). Needle caliber and design are associated with the risk of post-dural puncture headache after diagnostic lumbar puncture. Headache Medicine 14, 32-35.

KHALID, M., ASHFAQ, M., OBAID, A., JAVED, H., IQBAL, A., and BUTT, M. (2023). EFFECTIVENESS OF 25G COMPARED TO 27G QUINCKE SPINAL NEEDLE IN REGARD OF POST-DURAL PUNCTURE HEADACHE IN OBSTETRICS PATIENTS UNDERGOING SPINAL ANESTHESIA. Biological and Clinical Sciences Research Journal 2023, 359-359.

Khan, A., Idrees, M., Ali, N., and Rafi, M. I. (2020). POST DURAL PUNCTURE HEADACHE AFTER SPINAL ANESTHESIA, COMPARISON BETWEEN 22 GAUGE AND 25 GAUGE WHITACRE SPINAL NEEDLES IN ELECTIVE CAESAREAN SECTION. Annals of Allied Health Sciences 6.

Rodriguez-Camacho, M., Guirado-Ruiz, P., and Barrero-Hernández, F. (2023). Risk factors in post-dural puncture headache. Revista Clínica Española (English Edition) 223, 331-339.

Singla, M., Santpur, M., Khan, M. A., and Singh, S. (2020). A Clinical Study to Compare 25 G Whitacre and Quincke Spinal Needles for Incidence of Post Dural Puncture Headache (PDPH) and Failed Spinal Anaesthesia. Indian Journal of Public Health Research & Development 11.

Thakur, S., Sharma, A., Kaushal, S., Sharma, A., Sharma, N., and Thakur, P. S. (2022). Incidence and risk factors of “postdural puncture headache” in women undergoing cesarean delivery under spinal anesthesia with 26g quincke spinal needle, experience of medical college in rural settings in India 2019: A prospective cohort study design. Journal of Pharmacy and Bioallied Sciences 14, S209-S213.

Tiak, H. S., and Zahari, M. (2023). Isolated Abducens Nerve Palsy Following Spinal Anesthesia. Cureus 15.

Valença, M. M., and Silva-Néto, R. P. (2023). Post-dural puncture headache. Headache Medicine 14, 1-2.