Frequency Of Post Dural Puncture Headache With 25g Quincke Needle In Patients Scheduled For Orthopaedic Surgery Under Spinal Anaesthesia

Objectives: To determine PDPH frequency among patients scheduled for orthopaedic surgery after spinal anaesthesia with a 25G Quincke needle.

Materials and Methods: A 25-G Quincke needle was used to give standard spinal anaesthesia. The participant was 196 patients who underwent orthopaedic surgery at Mardan Medical Complex. The study enrolled all patients who met the inclusion criteria. Patients with infectious diseases, coagulopathy, severehypovolemia elevated intracranial pressure were excluded from this study. On postoperative days the patients were examined for the existence, features, and severity of headache. Only posture-dependent headaches were classified as PDPH, with severity levels ranging from mild to severe.

Results: The mean age of observed participants was 41.17 (± 15.5). The prevalence of PDPH after administering 25G Quincke spinal needles was 29.5% (58/196. Mild PDPH was observed in 32(55.1%) patients, in 23 (39.6%) patients moderate and severe in 3(5.1%) patients. It appeared in the majority of PDPH patients during the fi rst and second postoperative days. There was a significant (p<0.05) association between PDPH status and the number of attempts to obtain Cerebrospinal Fluid.

Conclusion: When a 25G Quincke spinal needle was used, the frequency of PDPH was substantially higher. The low rate of severe headaches and the number of attempts to acquire CSF affect the status of PDPH.

Key words: Orthopedic surgery, Spinal Anesthesia, Post Dural Puncture Headache, Quinckespinal needle