Clinical Efficacy of Prophylactic Intravenous Neostigmine and Atropine in Preventing Post-Dural Puncture Headache Among Parturient Undergoing Spinal Anesthesia for Cesarean Section: A Double-blind Randomized Placebo-controlled Trial

Clinical Efficacy of Prophylactic Intravenous Neostigmine and Atropine in Preventing Post-Dural Puncture Headache Among Parturient Undergoing Spinal Anesthesia for Cesarean Section: A Double-blind Randomized Placebo-controlled Trial

Post dural puncture headache is a distressing issue, many measures tried to treat symptoms but few delt with prevention.

Inclusion Criteria:

• Parturient ladies
• Age ranges from 18 to 35 years old.
• ASA II with elective caesarean section under sub-arachnoid block

Exclusion Criteria:

• BMI >35
• Refusal to participate
• surgical complications necessitating a blood transfusion
• Emergency caesarean section
• the need for endotracheal intubation or vasopressors
• any contraindication to regional anesthesia (such as a history of persistent cephalgia, convulsions, cerebrovascular events