PERBANDINGAN JUMLAH KASUS POSTDURAL PUNCTURE HEADACHE PADA PASIEN PASCA SECTIO CAESAREA DENGAN ANESTESI SPINAL MENGGUNAKAN JARUM TIPE QUINCKE 25G DAN 26G DI RSUD ARIFIN ACHMAD

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2014-02-25

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Abstract

Postdural Puncture Headache (PDPH) is an iatrogenic complication from spinal anesthesia caused by puncture or laceration from duramater which leads to leakage of cerebrospinal liquor (LCS). Many factors to influence the incidence of PDPH one of which is the size of spinal needle. The purpose of this research to know comparison the incidence of PDPH between Quincke 25G and 26G in patients with post sectio caesarea. In this cohort analytic study, 68 consecutive patients with post sectio caesarea under spinal anaesthesia accordance to the inclusive and exlusive criteria were included. Incidence of PDPH in the Quincke 25G needle is 4 repondents (11,8%) and the 26G Quincke is 2 respondents (5.9%). With the most common sites of pain on Frontooccipital, and severity were assessed using the Visual Analogue Scale (VAS). The results of this research showed that no significant relationship between the size of the spinal needle with the incidence of PDPH in sectio caesarea patient at the Arifin Achmad Hospital.

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Post Dural Puncture Headache, PDPH, Comparison The Incidence of PDPH, Quincke 25G, Quincke 26G, Spinal anaesthesia

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