Post-spinal Headache after Caesarean Section – Effect of Approach Into Dura-Arachnoid Sac

Authors

  • Satyajit Dhar Assistant Professor, Dept. of Anaesthesiology, Chittagong Medical College, Chittagong
  • Manisha Paul Dept. of Anaesthesiology, Square Hospital, Dhaka
  • Nitai Chandra Sarkar Assistant Professor (Anaesthesiology), Bogra Medical College, Bogra
  • Moshammat Zebunnesa Junior Consultant (Gynae), Upazila Health Complex, Manikchari, Khagrachari
  • AKM Faizul Hoque Assistant Professor (Anaesthesiology), BSMMU, Dhaka
  • Gulshan Ara Chowdhury Professor, Dept. of Anaesthesiology, Chittagong Medical College, Chittagong
  • AKM Shamsul Alam Professor and Head, Dept. of Anaesthesiology, Chittagong Medical College, Chittagong

DOI:

https://doi.org/10.3329/jbcps.v35i3.34342

Keywords:

Lateral approach, Post spinal headache, Spinal anaesthesia

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.

J Bangladesh Coll Phys Surg 2017; 35(3): 123-127

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Published

2017-10-22

How to Cite

Dhar, S., Paul, M., Sarkar, N. C., Zebunnesa, M., Hoque, A. F., Chowdhury, G. A., & Alam, A. S. (2017). Post-spinal Headache after Caesarean Section – Effect of Approach Into Dura-Arachnoid Sac. Journal of Bangladesh College of Physicians and Surgeons, 35(3), 123–127. https://doi.org/10.3329/jbcps.v35i3.34342

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Original Articles