A RANDOMIZED SINGLE BLINDED STUDY COMPARING THE INCIDENCE OF POST DURAL PUNCTURE HEADACHE AFTER SPINAL ANESTHESIA USING 25 GAUGE WHITACRE NEEDLE WITH MEDIAN AND PARAMEDIAN APPROACH IN CESAREAN SECTION PATIENTS
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- By this study we will come to know best approach to reduce the incidence of post dural puncture headache.
研究概览
简要总结
Subarachnoid block is most commonly used anesthesia technique for cesarean section. PDPH is iotrogenic complication of spinal anesthesia. subarachnoid space can be approached from posterior aspect of vertebral body by either through median or paramedian approach. paramedian approach has been proven to decrease the incidence of PDPH. Whitacre needle has been proven to decrease the incidence of PDPH, Hence we decided to see the advantage of whitacre needle when used in paramedian approach compared to median approach. we planned to evaluate by combining the advantage of whitacre needle with advantages of paramedian approach to decrease the incidence of PDPH.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- Female
入选标准
- •American society of anesthesiologist grade 1,2 age 18-35years, cesarean section under spinal anesthesia, pregnant patients giving informed, written and valid consent, at least 36weeks of gestational age, singleton pregnancy,.
排除标准
- •pregnant women with history of cardiac, liver and kidney disease, American society of anesthesiologist grade 3,4,5 anatomical abnormalities of spine, patient refusal, pregnant women with allergy to amide local anesthetic, more than 2 dural punctures, history of migraine or any chronic headache preoperatively or on day of surgery.
结局指标
主要结局
By this study we will come to know best approach to reduce the incidence of post dural puncture headache.
时间窗: 48 hours
次要结局
未报告次要终点