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A randomized prospective comparative study of incidence of post dural pucture backache(PDPB) following median and paramedian approach for administration of subarachnoid block in patients undergoing cesarian sectio

Phase 1
Conditions
Health Condition 1: O745- Spinal and epidural anesthesia-induced headache during labor and delivery
Registration Number
CTRI/2024/05/066701
Lead Sponsor
Tata Main Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patient undergoing elective / emergency cesarean section

ASA grades |-|||

Exclusion Criteria

Patients refusing to participate in the study

History of allergy to local anesthetics

Patients with coagulopathy or infection at the site of block

Patients with psychiatric illness or cognitive dysfunction

Patients with the history of previous back surgery, spondylolisthesis, and other lumbar disorders

Previous history of low back pain

Failure of spinal anesthesia

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine the incidence of post-dural puncture backache (PDPB) in both groups in the first 3 months postoperativelyTimepoint: 3 months postoperatively
Secondary Outcome Measures
NameTimeMethod
Backache on Numerical Rating Scale (NRS) in both groups after 24 hours,1 week, 1 month, 2 months and 3 months postoperatively <br/ ><br>The number of attempts required at subarachnoid block by either approach <br/ ><br>Total requirement of additional analgesics for low backache in first 24 and 48 hours postoperatively (Morphine equivalents) <br/ ><br>Compare the incidence of PDPH in the two groups in first 72 hours <br/ ><br>Timepoint: 24 and 48 hours, 72 hours
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