The Effect of Needle Type on the Postdural Pucnture Headache. |
Dae Chul Kim, Chan Jong Chung, Young Jhoon Chin |
Department of Anesthesiology, College of Medicine, Dong-A University, Pusan, Korea. |
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Abstract |
The development of postdural puncture headache is releated to patient's age, size, pregnancy, sex and type of the dural puncture needle, direction of the needle bevel. We studied the effect of needle type, 25 gauge Whitacre and 25 gauge Quincke, on the incidence of postdural puncture headache and other complications after spinal anesthesia in 300 patients.
The following results were observed: 1) The incidence of postdural puncture headache is similar between 25 gauge Whitacre needle group and 25 gauge Quincke needle group(4%, respectively). 2) The onset time of headache was 10-48 hours(83%) and the duration was about 48 hours(75%) postoperatively. |
Key Words:
Spinal anesthesia; Postdural puncture headache |
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