Summary:
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.
Key words : Lateral approach, Post spinal headache, Spinal
anaesthesia.
(J Bangladesh Coll Phys Surg 2017; 35: 123-127)