POST DURAL PUNCTURE HEADACHE: A COMPARISON OF MIDLINE AND PARAMEDIAN APPROACH OF SPINAL ANESTHESIA

  • Zeeshan Nasir Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Saira Mahboob Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Tariq Mehmood Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Syed Zaheer Haider Nawaz Sharif Medical College, Lahore Pakistan
Keywords: Midline approach, Para median approach, Postdural puncture headache, Spinal anesthesia

Abstract

Objective: To compare the midline and paramedian approaches of spinal anesthesia in terms of incidence of Post Dural Puncture Headache among patients undergoing surgery.

Study Design: Comparative prospective study.

Place and Duration of Study: Department of Anesthesiology, Pakistan Naval Ship (PNS) Shifa Karachi, from Jan to June 2018.

Methodology: After the approval of the hospital ethics committee, 214 (n=107 in each group) patients undergoing elective infra-umbilical surgery were included in our study. Group A were administered spinal anesthesia in sitting position via midline approach; whereas, paramedian approach was used in group B.

Results: A total of 214 participants were studied. The two groups did not vary in demographic profile (p=0.017). The frequency of post-dural puncture headache was 2 (1.8%) in group B versus 10 (9.3%) in group A. There was no effect of American Society of Anesthesiologist physical status, gender, type of surgery, and age on the frequency of post dural puncture headache.

Conclusion: There was a significantly lower frequency of post dural puncture headache in the paramedian approach for spinal anesthesia.

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Published
2020-08-20
How to Cite
Nasir, Z., Mahboob, S., Mehmood, T., & Haider, S. (2020). POST DURAL PUNCTURE HEADACHE: A COMPARISON OF MIDLINE AND PARAMEDIAN APPROACH OF SPINAL ANESTHESIA. Pakistan Armed Forces Medical Journal, 70(4), 1188-92. Retrieved from https://pafmj.org/index.php/PAFMJ/article/view/5119
Section
Original Articles