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OCCURRENCE OF POLE DURAL HOLE HEADACHE IN CASES EXPERIENCING ELECTIVE CESAREAN SEGMENT UNDERNEATH VERTEBRAL ANESTHESIA THROUGH MEDIAN AGAINST PARAMEDIAN METHOD

Faiza Ghafoor, Amir Iqbal, Amna Bashir.

Objective: PDPH remains single of main problems of vertebral anesthesia. Here remain 2 methods to manage vertebral anesthesia i.e. middle in addition paramedian. Researchers led the research to associate occurrence of PDPH afterwards vertebral anesthesia for cesarean segment through middle against paramedian method by means of 26 instrument pencil point pointer. Methodology: The current randomized measured test remained led at Sir Ganga Ram Hospital Lahore (Pakistan) from September 2017 to March 2018. 130 women experienced elective cesarean segment underneath vertebral anesthesia remained registered. Afterwards knowledgeable on paper agreement, parturient remained arbitrarily alienated into 2 identical sets through draw technique; Set A cases established vertebral chunk through median method also Set B respondents conventional this by paramedian method. Altogether vertebral chunks remained achieved through 26 measure pencil point pointer. The cases remained requested around occurrence otherwise nonappearance of headache complete VAS in subsequent 3 days. Results: In median method (Set A), 4 cases (5.6%) had PDPH; while in paramedian method (Set B) solitary One case (1.7%) got PDPH. Altogether cases remained of earlier age also little equivalence. Researchers established PDPH inside 1-2 days that remained of slight to reasonable in grade on Visual Analogue Scale also reassured through respite, adequately of solutions also modest analgesics comprising caffeine in minor patients. Whereas durable analgesics also influence relaxants remained extra in patients of reasonable PDPH. PDPH remained reassured inside 48-72 hours in altogether patients deprived of slightly problem. The variance remained statistically irrelevant (p value=1.31). Conclusion: Paramedian method remains improved as compared to average method in rapports of decrease inside occurrence of PDPH, nevertheless consequences remained statistically unimportant. Key Words: Average; Paramedian; Pole Dural hole headache; Vertebral; Cesarean Segment; Pencil-idea vertebral pointer Anesthesia, Vertebral, Cesarean Segment, Pole-Dural Hole Headache.

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