JPMA. The Journal of the Pakistan Medical Association
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One hundred and thirty seven adult patients undergoing peripheral surgery were studied regarding ease of larangeal mask airway (LMA) insertion, airway maintenance during surgery and complication encountered during insertion, maintenance and in the postoperative period. In a majority (84%) of patients, the airway was positioned correctly at the first attempt, 3% patients had mild laryngospasm at insertion and in 85% a good airway was obtained. ⋯ Two percent patients had laryngospasm on removal of LMA. Postoperatively, the complaint of sore throat and uvular trauma was seen in 4% cases.
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The incidence of postdural puncture headache (PDPH) was studied in in-patients after spinal anaesthesia with 25 gauge Polymedic needle (Sprotte-like), for lower segment caesarean section (LSCS). A total of 281 women who underwent LSCS were studied, at the maternity unit of St. Peter's Hospital, Chertsey, Surrey, U. ⋯ Out of 281 women studied, none complained of PDPH. Four women in the spinal anaesthetic group, complained of headache which did not have the characteristics of PDPH. The 25 gauge Polymedic spinal needle appears to be safe and satisfactory for performing spinal anaesthesia for LSCS.