Comparison of Two Spinal Needles Regarding Postdural Puncture Headache

Study Overview
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Brief Summary
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The aim of the study is to observe the rate of postdural puncture headache observed after spinal anesthesia in cesarean section patients. Two kind of spinal anesthesia needles will be used: 26 Gauge Quincke (cutting-tip needle) 26 Gauge Atraucan (atraumatic needle) The investigators will observe: Number of spinal punctures Time required for the spinal anesthesia procedure Patients will be evaluated after 7 days for: Headache Backache

Detailed Description
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It is a known phenomenon that spinal anesthesia sometimes results in headache. The aim of the study is to observe the rate of postdural puncture headache observed after spinal anesthesia in cesarean section patients. Two kind of spinal anesthesia needles will be used: 26 Gauge Quincke (cutting-tip needle) 26 Gauge Atraucan (atraumatic needle) We will observe: Number of spinal punctures Time required for the spinal anesthesia procedure Patients will be evaluated after 7 days for: Headache Backache 2 kind of spinal anesthesia needles will be used, but no comparison will be made. This is an observational study. Although literature gives different rates of postdural puncture headache for these two needles, we observe the same rate of headache in our clinical practice. We want to define the real rate of postdural puncture headache in patients undergoing cesarean section with spinal anesthesia.

Official Title
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Postdural Puncture Headache After Spinal Anesthesia for Cesarean Section, Two Different Needles.

Conditions
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Complications; Anesthesia, Spinal and Epidural, in Pregnancy, Anesthesia; Adverse Effect, Spinal and Epidural, Headache

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant female patients between 18-40 years old undergoing cesarean section Patient accepting spinal anesthesia Exclusion Criteria: Infection at the spinal needle insertion cite Coagulability disorder Patient not accepting the procedure

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 26 gauge quincke<br>Patients (n=150) will be treated with 26 gauge quincke spinal needle for spinal anesthesia for cesarean section. | |
| 26 gauge atraucan<br>Patients (n=110) will be treated with 26 gauge atraucan spinal needle for spinal anesthesia for cesarean section. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postdural Puncture Headache in Patients Receiving Spinal Anesthesia for Cesarean Section | Patients were observer for the symptoms of headache (PDPH) for 1 week. On the 1st postoperative day they were visited in the clinic. On the 7th postoperative day they were contacted by telephone and were asked about the symptoms. | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Backache in Patients Receiving Spinal Anesthesia for Cesarean Section | Patients were observer for the symptoms of postdural puncture backache for 1 week. On the 1st postoperative day they were visited in the clinic. On the 7th postoperative day they were contacted by telephone and were asked about the symptoms. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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spinal anesthesia, spinal needle, cesarean section, headache, backache