Needle Choice in Spinal Anesthesia: Is the 25-Gauge Whitacre Superior to the Quincke in Reducing Post-Dural Puncture Headache

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nThis is an unedited manuscript accepted for publication and provided as an Article in Press for early access at the author’s request. The article will undergo copyediting, typesetting, and galley proof review before final publication. Please be aware that errors may be identified during production that could affect the content. All legal disclaimers of the journal apply.n

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Year : 2025 [if 2224 equals=””]06/10/2025 at 2:55 PM[/if 2224] | [if 1553 equals=””] Volume : 02 [else] Volume : 02[/if 1553] | [if 424 equals=”Regular Issue”]Issue : [/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] 02 | Page : 22 30

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    Aniyat Ullah Sheikh, Rufaida Binta Jalal, Atul Khajuria, Deepanshu Sharma,

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  1. Assistant Professor, Assistant Professor, Director, Director, School of Paramedical Sciences, Faculty of Allied Health Sciences, Desh Bhagat University, Mandi Gobindgarh, School of Paramedical Sciences, Faculty of Allied Health Sciences, Desh Bhagat University, Mandi Gobindgarh, Faculty of Allied Health Sciences, Desh Bhagat University, Mandi Gobindgarh, Faculty of Allied Health Sciences, Desh Bhagat University, Mandi Gobindgarh, Punjab, Punjab, Punjab, Punjab, India, India, India, India

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Abstract

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nThe process known as endotracheal intubation involves inserting a synthetic tube into the trachea and inflating the former’s cuff to create an airtight seal. Of all the specialized masks in the LMA family, the PLMA is the most intricate. The cuff, the airway tube, the drain (gastric access) tube, and the inflation line with pilot balloon are their four primary components. This drain tube aids in identifying mask malposition and offers a bypass channel for regurgitated stomach contents. The PLMA features a laryngeal cuff made from softer silicone and a deeper bowl design compared to the LMA Classic. These enhancements help create a more secure and effective seal around the larynx. A randomized, prospective study of 40 patients receiving general anesthesia for an elective appendectomy at a GMC hospital has been considered. Extubating is typically done when the patient is starting to wake up and is in a lighter phase of anesthesia. This causes a marked rise in arterial blood pressure and heart rate that lasts into the recuperation phase. Insertion of the laryngeal mask eliminates the necessity for laryngoscopy and, consequently, the hemodynamic reactions. In our study, patients with normal blood pressure who had the ProSeal Laryngeal Mask Airway (PLMA) removed showed a rise in heart rate compared to their initial readings. At 5 minutes (86.92 ± 10.348) following tracheal extubating, this rise was very significant (PO.05). Antihypertensive drugs were given to all patients six hours before surgery. In patients with myocardial insufficiency, hypertension, cerebrovascular disease, and glaucoma, for example, where pressor reaction after extubating is to be avoided or is undesirable, PLMA is thought to be the most helpful. Throughout the study, the main SpO₂ levels remained consistent across all groups, with no statistically significant differences observed. These findings held true regardless of whether laryngoscopy, arterial blood pressure, PLMA, LMA, or endotracheal intubation were involved.nn

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Keywords: Proseal laryngeal mask airway (PLMA), endotracheal intubation, hemodynamic response, extubating, general anesthesia

n[if 424 equals=”Regular Issue”][This article belongs to Emerging Trends in Personalized Medicines ]

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[/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue under section in Emerging Trends in Personalized Medicines (etpm)][/if 424][if 424 equals=”Conference”]This article belongs to Conference [/if 424]

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How to cite this article:
nAniyat Ullah Sheikh, Rufaida Binta Jalal, Atul Khajuria, Deepanshu Sharma. [if 2584 equals=”][226 wpautop=0 striphtml=1][else]Needle Choice in Spinal Anesthesia: Is the 25-Gauge Whitacre Superior to the Quincke in Reducing Post-Dural Puncture Headache[/if 2584]. Emerging Trends in Personalized Medicines. 05/08/2025; 02(02):22-30.

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nAniyat Ullah Sheikh, Rufaida Binta Jalal, Atul Khajuria, Deepanshu Sharma. [if 2584 equals=”][226 striphtml=1][else]Needle Choice in Spinal Anesthesia: Is the 25-Gauge Whitacre Superior to the Quincke in Reducing Post-Dural Puncture Headache[/if 2584]. Emerging Trends in Personalized Medicines. 05/08/2025; 02(02):22-30. Available from: https://journals.stmjournals.com/etpm/article=05/08/2025/view=0

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[if 424 not_equal=””]Regular Issue[else]Published[/if 424] Subscription Original Research

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Volume 02
[if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] 02
Received 01/05/2025
Accepted 01/08/2025
Published 05/08/2025
Retracted
Publication Time 96 Days

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