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- Title
Post-spinal Headache after Caesarean Section -- Effect of Approach Into Dura-Arachnoid Sac.
- Authors
DHAR, S.; PAUL, M.; SARKAR, N. C.; ZEBUNNESA, M.; HOQUE, A. K. M. F.; CHOWDHURY, G. A.; ALAM, A. K. M. S.
- Abstract
Introduction : Spinal anaesthesia is the technique of choice for caesarian section. But post-spinal headache (PSH) is still a 'headache' for the anaesthesiologist even after using modern spinocaine needles. Objective : This study was performed to compare the incidence of PSH between midline and lateral approach when caesarian sections were done by spinal anaesthesia. Methods : After ethical clearance this study was done in Chittagong Medical College Hospital. Two hundred pregnant women of American Society of Anesthesiologists (ASA) physical status I & II who underwent caesarian section were included and randomized into 2 groups. After informed consent spinal needle were inserted by midline approach in Group A patients and by lateral approach in Group B patients. After appearance of free flow of CSF 0.5% hyperbaric bupivacaine 10 mg was injected to each patient. PSH and other complications were evaluated. Results : Incidence of PSH was significantly higher in Group A patients. Conclusion : Lateral approach during spinal anaesthesia is better than midline approach in preventing PSH.
- Subjects
SPINAL anesthesia; CESAREAN section; ANESTHESIOLOGISTS
- Publication
Journal of Bangladesh College of Physicians & Surgeons, 2017, Vol 35, Issue 3, p123
- ISSN
1015-0870
- Publication type
Article
- DOI
10.3329/jbcps.v35i3.34342