Twenty-six gauge spinal needles for the prevention of spinal headache

Owen, Catherine K.; Owen, John J.; Sergent, Warren F.; McGowan, John W.

doi:10.1016/0002-9610(53)90597-2

Cited by 14 publications

(2 citation statements)

References 25 publications

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“…Despite the relatively small number of patients, these authors considered a previous history of PDPH as a prognosis factor for a new episode of PDPH (15). This has also been claimed in casuistic reports (16)(17)(18), but no controlled studies have been conducted.…”

Section: Discussionmentioning

confidence: 99%

Postdural Puncture Headache is a Risk Factor for New Postdural Puncture Headache

Amorim

Valença

2007

Cephalalgia

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The aim of this study was to determine if patients with a previous history of postdural puncture headache (PDPH) might be prone to a new episode after spinal anaesthesia. Consecutive patients (n = 258) who had had surgery under spinal anaesthesia were studied. Of 42 patients with a previous history of PDPH, eight (19.0%) developed a new PDPH episode; whereas out of 216 without a previous history of PDPH, only 15 (6.9%) presented with PDPH. Previous PDPH history indicates a higher chance of a new episode of PDPH after spinal anaesthesia. Women are more susceptible to such recurrences.

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Section: Discussionmentioning

confidence: 99%

Postdural Puncture Headache is a Risk Factor for New Postdural Puncture Headache

Amorim

Valença

2007

Cephalalgia

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“…Continuous spinal anaesthesia was described as long ago as 1940 [1], but the use of needles which could readily be dislodged or even broken and the need for specially designed mattresses to permit appropriate positioning of patients for surgery limited the use of the technique. Furthermore, since the occurrence of postdural puncture headache is at least in part due to the size of the dural puncture hole [2], when urethral catheters were used for continuous spinal anaesthesia [3], despite being more practicable than the so‐called Lemmons technique, the method still did not achieve wide clinical use. New technologies have made it possible to construct catheters with diameters below 26 G which still remained strong enough not to break when removed after use [4].…”

mentioning

confidence: 99%

Continuous microspinal anaesthesia: another perspective on mechanisms inducing cauda equina syndrome

et al. 1998

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SummaryContinuous spinal anaesthesia through a microspinal catheter technique has been criticised on several grounds and is now rarely used. This paper reviews the possible causes of the cauda equina syndrome which have been described and, on the basis of research in cadaver preparations, a glass 'spine' model and clinical experience in over 200 cases, suggests how these problems might be avoided. The use of careful insertion techniques, limiting the length of catheter inserted into the subarachnoid space and the use of no stronger than 0.5% bupivacaine solution are recommended.

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Die Produktion und Zirkulation des Liquors und ihre Störungen

Schaltenbrand¹,

Wolff²

1959

Grundlagen I

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Twenty-six gauge spinal needles for the prevention of spinal headache

Cited by 14 publications

References 25 publications

Postdural Puncture Headache is a Risk Factor for New Postdural Puncture Headache

Postdural Puncture Headache is a Risk Factor for New Postdural Puncture Headache

Continuous microspinal anaesthesia: another perspective on mechanisms inducing cauda equina syndrome

Die Produktion und Zirkulation des Liquors und ihre Störungen

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