Comparative Evaluation of Different Needle Gauge of Needle for Spinal Anesthesia in Cesarean Section for Post-Operative Complication

Post-Operative Complication in Cesarean Section

Abstract

Background: Post  duralPucture  headache  (PDPH)  Particularly  Following  Caesarean  Section  is  a  well-known  iatrogenic complication of spinal anaesthesia mostly occours due to loss of cerebrospinal fluid (CSF) during the procedure. Aims and Objectives: The study was planned to assess comparative superiority of 27 gauze spinal needle over 25 gauze spinal needle in caesarean section for reduction of PDPH. Subjects and Methods: The study was conducted on hundred full term primi-parous women aged within 18-36 years undergoing elective Caesarean Section were selected. They were divided into two groups, receive spinal anaesthesia with 25 gauze and 27 gauze spinal needle. Results: The overall incidence of PDPH of 100 CS patients was 17% and significantly higher incidence is noticed in-group A than group B (26% vs 10%, p <0.05>). Attempt required to attain CSF is higher in group B and finer needle takes significantly more time to collect CSF (P<.001). Mean Duration for CSF Collection was 35.0813.43 seconds (group A) and 81.1216.71 seconds (groups B). Conclusion: Use of 27G spinal needle will be a good choice for reduction of PDPH.