Aseptically, spinal anesthesia was carried out in a sitting position, using 25G Quincke spinal needle
at L3-4 vertebral level.
1011 Since we used a 25 G quincke spinal needle
for all of the patients in this study we projected that the PDPH incidence would be increased in these patients accordingly.
Spinal anaesthesia using a 27G Quincke spinal needle
, in experienced hands, can have successful spinal block with reduced PDPH rates in patients undergoing Caesarean section.
Baseline systolic blood pressure (SBP), diastolic blood pressure (DBP), average blood pressure (ABP), heart rate (HR) and peripheral oxygen saturation (SpO2) were recorded, and then the subarachnoid space was accessed via a 25G Quincke spinal needle
Patients in group A received SAB with a 27 G styletted pencil point needle as part of a CSE block, while patients in group B received a SAB with a 25 G styletted Quincke spinal needle
inserted without the use of an introducer.
In each case, spinal anaesthesia was performed under strict aseptic precautions by inserting 26 gauge Quincke spinal needle
into subarachnoid space at L3-4 interspace with the patient in left lateral position and the study solution was injected over 15-20 seconds.
A 25G Quincke spinal needle
was inserted perpendicular to the skin over this landmark until the upper part of the inferior ramus was contacted at an approximate depth of 1/2 to 1 inch.
After proper antiseptic dressing and draping skin infiltration was done with 1-2 mL of lignocaine at L3 - L4 vertebral interspace, lumbar puncture was performed through midline approach using 25-gauge Quincke spinal needle
Using 23 gauge Quincke spinal needle
with the patient in lateral position (The side to be operated on as the dependent side), the drug was given after assuring free flow of CSF.
Limitations in the present study include the use of a metal cannula of 24-gauge intravenous catheter used for lumbar puncture due to unavailability of 5 cm long (Paediatric variety) Quincke spinal needle
5% Bupivacaine is administered by inserting spinal needle at L2-L3 level with patient in left lateral position, under aseptic conditions using a 25G Quincke spinal needle
Under strict asepsis, using 25 G Quincke spinal needle
, lumbar puncture was performed at L 3--L 4 interspace in sitting position.