A randomised clinical trial to compare the post dural puncture headache following spinal anaesthesia using 27G Quincke’s and 27G Whitacre’s spinal needles

2017 ◽  
Vol 4 (1) ◽  
pp. 05-09
Author(s):  
P Savanth Kumar ◽  
◽  
Pogaku Gopi Krishna ◽  
G S Nikilesh Kumar ◽  
◽  
...  
Keyword(s):  
Clinical Trial ◽  
Spinal Anaesthesia ◽  
Dural Puncture ◽  
Randomised Clinical Trial ◽  
Post Dural Puncture Headache

Plain Articaine or Prilocaine for Spinal Anaesthesia in Day-Case Knee Arthroscopy, a Double-Blinded Randomised Clinical Trial

2008 ◽  
Vol 33 (Sup 1) ◽  
pp. e32
Author(s):  
M. P. Hendriks ◽  
C. J.M. de Weert ◽  
M. A.L. Pluim ◽  
H. P. Hu ◽  
M. M.J. Snoeck ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Spinal Anaesthesia ◽  
Knee Arthroscopy ◽  
Randomised Clinical Trial ◽  
Day Case ◽  
Double Blinded

scholarly journals Complications of Continuous Spinal Anaesthesia

1992 ◽  
Vol 20 (4) ◽  
pp. 417-425 ◽  
Author(s):  
P. J. Peyton
Keyword(s):  
Spinal Anaesthesia ◽  
Current Practice ◽  
Dural Puncture ◽  
Single Shot ◽  
Continuous Spinal Anaesthesia ◽  
Post Dural Puncture Headache ◽  
History Of ◽  
Nerve Trauma

The practice of continuous spinal anaesthesia dates back to the beginning of the century. The history of the technique, and the problems which accompanied each method used, are reviewed. Complications encountered in current practice include post dural puncture headache; technical difficulties with insertion and removal of catheters; and a higher potential for nerve trauma, neurotoxicity, and method failure than seen with single-shot spinal anaesthesia. The question of the place of the technique in modern anaesthesia is addressed.

641. Plain Articaine or Prilocaine for Spinal Anaesthesia in Day-Case Knee Arthroscopy, a Double-Blinded Randomised Clinical Trial

2008 ◽  
Vol 33 (Suppl 1) ◽  
pp. e32.1-e32
Author(s):  
M. P. Hendriks ◽  
C. J.M. de Weert ◽  
M. A.L. Pluim ◽  
H. P. Hu ◽  
M. M.J. Snoeck ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Spinal Anaesthesia ◽  
Knee Arthroscopy ◽  
Randomised Clinical Trial ◽  
Day Case ◽  
Double Blinded

scholarly journals To Compare the Incidence of Post-Dural Puncture Headache Using 25G Quincke and 25G Whitacre Spinal Needles in Patients Undergoing Lower Segment Caesarean Section

2021 ◽  
Vol 10 (14) ◽  
pp. 1014-1019
Author(s):  
Aditya Rameshbabu Devalla ◽  
Sanjot S. Ninave ◽  
Amol P. Singam
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Dural Puncture ◽  
Lower Segment ◽  
Early Ambulation ◽  
Post Dural Puncture Headache ◽  
Lower Segment Caesarean Section ◽  
Key Words Spinal Anaesthesia ◽  
American Society ◽  
Obstetric Surgery

BACKGROUND Spinal anaesthesia is the first preference of anaesthesia in obstetric surgery. Post dural puncture headache (PDPH) is more common after C-section in young parturients. In the present world which is developing and fast-paced, brisk recovery along with minimal side effects & importantly early ambulation are now the need of the hour. This headache is more worrying to the mother who is required to tend to the newborn baby. This study compared the incidence of PDPH subsequent to subarachnoid blockade for lower segment Caesarean section (LSCS) 25G Whitacre & 25G Quincke needles. We wanted to compare the incidence of PDPH using 25G Quincke and 25G Whitacre spinal needles in patients undergoing LSCS. METHODS Two hundred (ASA II) American Society of Anaesthesiologists 11 females who were pregnant and in the age group of 20 - 50 years, planned to get sub-arachnoid blockade for C-section, were assigned randomly into two equal groups (N = 100 each). Both groups received spinal anaesthesia with 25-gauge Quincke and 25 gauge Whitacre needle. Postoperatively, incidence, site, onset, severity and duration of headache was studied. RESULTS The incidence of post spinal headache was 6 % in the Quincke group. No patients in Whitacre group had PDPH. The number of lumbar punctures required for successful sub arachnoid block was recorded in both the groups. 92 % patients from group Q and 88 % patients from group W required only one puncture. 8 % patients from group Q and 12 % patients from group W required two punctures. CONCLUSIONS It is prudent to conclude that 25G Whitacre spinal needle is a better alternative to 25G Quincke needle for reducing the incidence of post dural puncture headache in patients undergoing lower segment Caesarean section. KEY WORDS Spinal Anaesthesia, Post Dural Puncture Headache, Caesarean Section

scholarly journals A Randomised Clinical Trial to Compare the Efficacy of Tramadol and Nalbuphine for Treatment of Shivering after Spinal Anaesthesia in Patients Posted for Lower Limb Orthopaedic Surgery

2021 ◽  
Author(s):  
Sara Mary Thomas ◽  
Ananya Pradhan ◽  
Dinesh Chauhan
Keyword(s):  
Clinical Trial ◽  
Side Effects ◽  
Spinal Anaesthesia ◽  
Muscular Activity ◽  
Total Sample ◽  
Randomised Clinical Trial ◽  
Muscle Group ◽  
P Value ◽  
Entire Body ◽  
Grade 3

Introduction: Nalbuphine and tramadol are opioids which have been used to control post-anaesthetic shivering. Aim: To compare the efficacy of nalbuphine and tramadol in the treatment of post-spinal anaesthesia shivering. Materials and Methods: This was a randomised clinical trial conducted on 60 patients of either gender (20-60 years age group) from January 2019 to June 2020, American Society of Anaesthesiologists (ASA) Grade I or II, having post-spinal anaesthesia shivering. The total sample was divided into two groups of 30 patients each. Group T received injection (Inj) tramadol 1 mg/kg intravenously (iv) and Group N received Inj. nalbuphine 0.1 mg/kg iv. Grade of shivering was assessed with a five point scale as Grade 0- no shivering; Grade 1; No visible muscle activity, but one or more of piloerection, peripheral vasoconstriction or peripheral cyanosis Grade 2; Muscular activity in only one muscle group; Grade 3: Moderate muscular activity in more than one muscle group, but not generalised shaking; Grade 4: Violent muscular activity that involves the entire body. The time taken for disappearance of shivering, assessment of improvement of shivering (complete- if grade of shivering becomes 0, partial- if grade of shivering deceased but not zero), recurrence rate and side-effects such as nausea, vomiting, deep sedation were noted. Independent t-test and Chi-square test were used to analyse the data. A p-value <0.05 were considered statistically significant. Results: The time taken for disappearance of shivering was shorter in group N than T (3.20±0.96 minutes and 6.43±0.97 minutes respectively, p=0.001). Significantly better sedation (p-value 0.04) was seen in nalbuphine group as grade 3 sedation were seen in 15 patients of nalbuphine group as compared to none in tramadol group. All the patients in group N had complete improvement of shivering and there was no recurrence, while in group T six patients had partial improvement in shivering and four (13%) had recurrence. Complications such as nausea (three patients) and vomiting (one patient) were seen in Group T while none were seen in Group N. Conclusion: The efficacy of nalbuphine is greater than tramadol in controlling post-spinal anaesthesia shivering, with minimal side-effects.

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