Abstract

Post dural puncture headache (PDPH) is most common complication of spinal an epidural anaesthesia. According to International Headache Society, PDPH is described as a headache occurring within 5 days of lumbar puncture and being aggravated when standing or sitting and relieved when laying flat and caused due to cerebrospinal fluid leak through the dural puncture. Aim: To evaluate the efficacy of sphenopalatine ganglion block in management of PDPH and assess the efficacy of oral caffeine 300 mg in management of PDPH. Material and methods: This randomize prospective, observational study will be carried out in patient scheduled for LSCS under spinal anaesthesia,30 patient in the age group of 20-50year belonging to ASA PS-1 AND 2 allocated to two groups,Group1 and Group2 ,who fulfill the criteria of PDPH. Group-APatient will receive oral caffeine 300mg and placebo block Group-BSphenopalatine ganglion block and placebo tablet. Patients were assessed for analgesia period using visual analogue scale (VAS). Hemodynamic parameters and time for first rescue analgesia was recorded. RESULT – The mean VAS score at 72 hours after LSCS was 2.00+1.512 in Group-1, in Group-2 .67+.976, which was statistically significant (p<0.05). The patients in Group 2 showed positive outcome there was a statically significant reduction in visual analog scale (VAS) and mean duration of treatment. After applying unpaired t test for repeated measurement indicated that the interaction between time and group demonstrated that sphenopalatine ganglion block and placebo tablet(P>0.05) was superior to oral caffeine 300mg and placebo block in pain reduction Coclusion: SPGB could be used as an effective first line treatment modality for the management of post dural puncture headache .

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