Comparison of Two Spinal Needles Regarding Postdural Puncture Headache

Adiyaman University Research Hospital

Status: Completed

Conditions: Anesthesia; Adverse Effect, Spinal and Epidural, Headache; Complications; Anesthesia, Spinal and Epidural, in Pregnancy

Study type: Observational

Funder types: Other

Identifiers

NCT01821807

PDPH 26Q26A

Details and patient eligibility

About

The aim of the study is to observe the rate of postdural puncture headache observed after spinal anesthesia in cesarean section patients.

Two kind of spinal anesthesia needles will be used:

1. 26 Gauge Quincke (cutting-tip needle)
2. 26 Gauge Atraucan (atraumatic needle)

The investigators will observe:

1. Number of spinal punctures
2. Time required for the spinal anesthesia procedure

Patients will be evaluated after 7 days for:

1. Headache
2. Backache

Full description

It is a known phenomenon that spinal anesthesia sometimes results in headache.

The aim of the study is to observe the rate of postdural puncture headache observed after spinal anesthesia in cesarean section patients.

Two kind of spinal anesthesia needles will be used:

1. 26 Gauge Quincke (cutting-tip needle)
2. 26 Gauge Atraucan (atraumatic needle)

We will observe:

1. Number of spinal punctures
2. Time required for the spinal anesthesia procedure

Patients will be evaluated after 7 days for:

1. Headache
2. Backache

2 kind of spinal anesthesia needles will be used, but no comparison will be made. This is an observational study. Although literature gives different rates of postdural puncture headache for these two needles, we observe the same rate of headache in our clinical practice. We want to define the real rate of postdural puncture headache in patients undergoing cesarean section with spinal anesthesia.

Enrollment: 256 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pregnant female patients between 18-40 years old undergoing cesarean section
• Patient accepting spinal anesthesia

Exclusion criteria

• Infection at the spinal needle insertion cite
• Coagulability disorder
• Patient not accepting the procedure

Trial design

256 participants in 2 patient groups

26 gauge quincke

Description:

Patients (n=150) will be treated with 26 gauge quincke spinal needle for spinal anesthesia for cesarean section.

26 gauge atraucan

Description:

Patients (n=110) will be treated with 26 gauge atraucan spinal needle for spinal anesthesia for cesarean section.