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.
