Needle design does not affect the success rate of spinal anaesthesia or the incidence of postpuncture complications in children

Kokki, Hannu; Heikkinen, Markku; Turunen, M; Vanamo, Kari; Hendolin, H.

doi:10.1034/j.1399-6576.2000.440213.x

Cited by 53 publications

(57 citation statements)

References 11 publications

(19 reference statements)

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“…In one non-systematic meta-analysis there was some evidence that atraumatic needles might be better [10]. Later Kokki et al [9] reported a study with an adequate number of patients, in which the needle design did not affect the incidence of PDPH. Both of these reports were dealing with spinal anaesthesia, and the patients of Kokki et al were children.…”

Section: Discussionmentioning

confidence: 99%

“…Needles smaller than 22 G take longer than six minutes to collect 2 ml of fluid [8]. Also, there is still controversy about the significance of the needle design: atraumatic or cutting point, an atraumatic needle theoretically leaving a smaller hole in dura and thus possibly decreasing CSF leakage [9,10]. However, it has been stated that use of a 22-G blunt needle might reduce the incidence of headache to as low as 5% [11].…”

Section: Liisa Luostarinen Taina Heinonen Markku Luostarinen Annikki mentioning

confidence: 99%

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Diagnostic lumbar puncture. Comparative study between 22–gauge pencil point and sharp bevel needle

et al. 2005

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Post–lumbar puncture headache is a frequent clinical problem. Needle design is expected to reduce post–puncture headache. In this study, we compared two different lumbar puncture needle designs in diagnostic lumbar puncture and analysed post–dural puncture headache (PDPH) and social and economical harm associated with the diagnostic lumbar puncture procedure. This prospective, controlled study consisted of 80 consecutive adult patients requiring elective diagnostic lumbar puncture due to various neurological symptoms. Lumbar puncture was completed either with Spinocan ® 22 G sharp bevel needle or Whitacre ® 22G pencil point needle. Patients were asked about previous headache symptoms and pain provoked by puncture. One week after the lumbar puncture all patients were interviewed by telephone and occurrence and type of headache, headache intensity, medication and frequency of impairment in activities of daily living were asked. Need for epidural blood patch was also recorded. Thirty–three of 78 (42%) patients experienced headache after diagnostic lumbar puncture and in 26 (33%) the headache could be classified as PDPH. There were no statistically significant differences between needle types in the frequency of common headache, PDPH, puncture pain intensity, need for epidural blood patch or sick leave. Also, there were no other complications except local back pain or headache. In this study, the needle design did not affect the frequency of PDPH. Also, PDPH was common, occurring in 33% cases and caused a considerable amount of disturbance in daily activities. Seeking help for this condition was insufficient and only part of these PDPH patients were treated with epidural blood patch.

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Section: Discussionmentioning

confidence: 99%

Section: Liisa Luostarinen Taina Heinonen Markku Luostarinen Annikki mentioning

confidence: 99%

Diagnostic lumbar puncture. Comparative study between 22–gauge pencil point and sharp bevel needle

et al. 2005

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“…Of the 40 articles to which we refer and which were published between 1990 and 2002, 9 review existing literature and refer to numerous studies but often do not mention how many patients are included in the studies [5,7,8,10,11,13,15,23,34]. Twenty-one articles are prospective studies, referring to other studies in the discussion [3,6,9,12,14,16,17,18,19,20,21,22,25,28,32,33,35,37,38,39,41]; four are retrospective studies [1,26,31,40], three are case reports followed by literature review [4,27,36]; two editorials [2,29] and one is a letter [30].…”

Section: Introductionmentioning

confidence: 97%

Post-dural puncture headaches in children. A literature review

Janssens

Aerssens²,

Alliët³

et al. 2003

Eur J Pediatr

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“…Çocuk-larda spinal iğne tercihinde keskin uçlu ve kalem uçlu iğnelerin benzer başarı oranları olduğunu belirten yayınlar mevcuttur. [7][8][9] Apilioğulları ve ark.nın 414 pediatrik hastada yapmış oldukları ça-lışmada, baş ağrısı oranı keskin uçlu iğnelerle %4,5, kalem uçlu iğnelerle ise %0,4 olarak belirtilmiştir. 10 Çalışmamızda 26 G keskin uçlu iğne kullanılmış ve hastalarımızın hiçbirinde baş ağrısı tespit edilmemiştir.…”

Section: Discussionunclassified

Our Experiences with Spinal Anesthesia in 143 Pediatric Patients

Kantekin¹,

Yalvaç²,

Evran³

et al. 2015

Turkiye Klinikleri J Anest Reanim

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Ö ÖZ ZE ET T AAm ma aç ç: : Spinal anestezi, erişkinlerde olduğu kadar çocuklarda da popularitesi artan bir tekniktir. Hızlı başlangıçlı sensöriyel blok ve tam bir kas gevşemesi sağlaması, aynı zamanda cerrahiye stres yanıtın ve kardiyovasküler yanıtın da kontrol edilebilmesi nedeni ile çocuk cerrahisinde popularitesini artırmıştır. Bu çalışmanın amacı, spinal anestezi uyguladığımız hastalarda bu tekniğin etkinliğini, yan etkilerini ve komplikasyonlarını geriye dönük olarak değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Yaşları 7-14 yıl arasında değişen 143 spinal anestezi ile opere olmuş çocuk hastanın verileri geriye dönük olarak incelendi.Hastaların bireysel özellikleri, operasyon türleri, cerrahi süre, motor bloğun gerileme süresi ve komplikasyonlar kaydedildi. B Bu ul lg gu ul la ar r: : Hastaların 47'si kız, 96'sı erkek; yaş ortalaması 10,6±1,9 yıl idi. Yüzde 98'inde ilk girişimde olmak üzere başarılı spinal anestezi sağlandı. Hastaların %17,4'ünde operasyon sırasında ek intravenöz sedasyon gereksinimi oldu. Yüzde %88,8'inde midazolam ile yeterli intraoperatif sedasyon sağlanırken, 16 hastada aralıklı olarak propofol ile sedasyon sağlanmıştı. Başlıca önemli yan etkinin 8 ve 10 yaşlarındaki iki hastada görülen ve kardiyovasküler stabilitenin korunduğu gözlenen yüksek spinal blok olduğu görüldü. Dokuz yaşındaki bir hastada düşük ayak gelişti, ancak medikal tedavi ve bir aylık fizik tedavi programı ile tam iyileşme sağlandı ve taburcu edildi. Spinal anestezi ile ilişkili kardiyovasküler kollaps, total spinal blok, intravasküler enjeksiyon gibi ciddi yan etkilere rastlandı. Spinal anestezi uygulamasının en fazla akut batın tanısı ile acil cerrahi planlanmış 102 hastaya yapıldığı görüldü. S So on nu uç ç: : Çocuklarda spinal anestezi özellikle acil vakalarda genel anesteziye tercih edilebilecek bir tekniktir. Ancak güvenli ve etkin şekilde uygulanabilmesi için komplikasyonlarının ve olumlu sonuçlarının belirtildiği yayınlara ihtiyaç olduğunu düşünüyoruz.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Çocuk; anestezi, spinal A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The popularity of spinal anesthesia in pediatric surgery has increased since it produces a uniformly distributed sensory block with rapid onset and good muscle relaxation, as well as resulting in complete control of cardiovascular and stress responses. The aim of this study was to evaluate the characteristics of spinal anesthesia, including its efficacy, adverse effects and complications. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The datas of the 143 children aged between 7-14 years who had been operated with spinal anesthesia were evaluated retrospectively. The demographic characteristics, type of operation, length of surgery, time to regression of motor block and complications are recorded. R Re e--s su ul lt ts s: : 47 of the patients were girls, 96 of the patients were boys and the mean age of the patients was10.6±1.9. 98% of patients had successful block at the first attempt. Ad...

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Needle design does not affect the success rate of spinal anaesthesia or the incidence of postpuncture complications in children

Abstract: Both types of spinal needles can be used in children, and a free aspiration of CSF results in a high success rate of the spinal block. Postpuncture complications are as common in children as in adults.

Cited by 53 publications

References 11 publications

Diagnostic lumbar puncture. Comparative study between 22–gauge pencil point and sharp bevel needle

Diagnostic lumbar puncture. Comparative study between 22–gauge pencil point and sharp bevel needle

Post-dural puncture headaches in children. A literature review

Our Experiences with Spinal Anesthesia in 143 Pediatric Patients

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