Fratura de agulha durante punção subaracnóidea: relato de caso

Cruvinel, Marcos Guilherme Cunha; Andrade, André Vitor Chaves de

doi:10.1590/s0034-70942004000600007

Cited by 8 publications

(2 citation statements)

References 1 publication

(1 reference statement)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[8] Very rare procedural complications include fracture of spinal needle, dry tap due to very thin, or deformed needle or insufficient knowledge about the availability of longer size spinal needle in obese patients. [91011] Lack of cooperation can be an important factor, mostly in children. Common patient-related complications include headache, local bleeding, subdural hematoma, infection, back pain, and so on.…”

Section: Discussionmentioning

confidence: 99%

A study on the standard of documentation of lumbar puncture in neurology department of a major Irish Teaching Hospital in Ireland

Bhattacharjee

Kaur

2013

Ann Indian Acad Neurol

View full text Add to dashboard Cite

Objective:Poor documentation following lumbar puncture (LP) had always been a matter of concern. This study aimed to investigate the documentation pattern of neurology house officers, registrars (Regs), and specialist Regs following LP in a major teaching hospital.Materials and Methods:Total hundred patient records were examined in the light of a carefully designed proforma containing 15 important indicators of good-quality LP documentation.Result:Mean number of indicators overall documented by doctors was found to be 6.24 ± 3.0037. The mean number of indicators recorded by house officers was 5.11 ± 3.01 and Regs was 7.56 ± 3.28. A total of 33% LPs were performed without a documented consent. Only 36% performers documented the type and size of needle they used during the procedure. Only 46% documents revealed the strength and name of the local anesthetic used. Statistically significant difference between senior house officers and Regs in terms of numbers of indicators documented was noted.Conclusion:The documentation standard among neurology junior doctors remained poor.

show abstract

Section: Discussionmentioning

confidence: 99%

A study on the standard of documentation of lumbar puncture in neurology department of a major Irish Teaching Hospital in Ireland

Bhattacharjee

Kaur

2013

Ann Indian Acad Neurol

View full text Add to dashboard Cite

show abstract

“…Sin embargo, con su uso, aumenta el riesgo de otra complicación de esta técnica, como la deformidad o la rotura de las agujas. 2,4 Esta complicación, si bien se produce y está descrita, es muy poco frecuente. Según Abou-Shameh y cols., la incidencia es de 1/5000 casos.…”

Section: Discussionunclassified

Paraparesia aguda por hemangioma vertebral agresivo. Reporte de dos casos y revisión bibliográfica

Viescas¹,

Valacco²,

Imposti³

et al. 2021

Rev. Asoc. Arg. Ort. y Traumatol

View full text Add to dashboard Cite

Introducción: Los hemangiomas agresivos constituyen el 1% del total de los hemangiomas vertebrales. Pueden producir dolor, fracturas, deformidad y compromiso neurológico, generalmente de larga evolución. Se han descrito diferentes opciones terapéuticas, pero el manejo óptimo sigue sin estar claro. Comunicamos dos casos de paraparesia aguda secundaria a un hemangioma torácico agresivo, describimos su tratamiento y evolución. Realizamos una revisión narrativa de la bibliografía. Conclusión: Mediante la descompresión y la artrodesis tempranas seguidas de radioterapia, se logró la recuperación neurológica completa y el control de la enfermedad en un seguimiento a mediano plazo.

show abstract

In situ abgebrochene 27-Gauge-Spinalnadel bei einer Re-Resectio

et al. 2017

View full text Add to dashboard Cite

We report the rare case of an in situ fracture of a spinal needle within the setting of repeated caesarean delivery in a 28-year-old pregnant woman and discuss the responsible underlying factors. In particular, a wrong technique, limited experience, difficulties to identify the anatomical landmarks, as well as the use of spinal needles smaller than 25 G might promote such a complication. In order to ensure the stability of the spinal needle and to avoid an in situ fracture, the spinal needle should be never moved without the stylet. In case of repeated bone contact, a well-experienced anaesthetist should be consulted, the spinal needle should be replaced and the use of ultrasound is recommended. Next, the use of an atraumatic spinal needle greater than 27 G should be considered to facilitate intrathecal puncture and to avoid the in situ fracture of a spinal needle. Within this context, the risk of post-spinal puncture headache should be balanced. If an in situ fracture of a spinal needle happens, its subsequent removal should be planned without delay by an interdisciplinary team and the anaesthetic method should be chosen with consideration of patient-specific risk factors.

show abstract

Fratura de agulha durante punção subaracnóidea: relato de caso

Cited by 8 publications

References 1 publication

A study on the standard of documentation of lumbar puncture in neurology department of a major Irish Teaching Hospital in Ireland

A study on the standard of documentation of lumbar puncture in neurology department of a major Irish Teaching Hospital in Ireland

Paraparesia aguda por hemangioma vertebral agresivo. Reporte de dos casos y revisión bibliográfica

In situ abgebrochene 27-Gauge-Spinalnadel bei einer Re-Resectio

Contact Info

Product

Resources

About