Atraumatic needles for lumbar puncture: why haven't neurologists changed?

Practical Neurology
A DavisK Schmierer

Abstract

Diagnostic lumbar puncture is a key procedure in neurology; however, it is commonly complicated by post-lumbar puncture headache. Atraumatic needle systems can dramatically reduce the incidence of this iatrogenic complication. However, only a minority of neurologists use such needles. In this paper, we discuss possible reasons why neurologists have not switched to new technology, looking more at diffusion of innovation rather than lack of evidence. We suggest ways to overcome this failure to adopt change, ranging from local interventions to patient empowerment.

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Citations

Apr 10, 2016·Multiple Sclerosis : Clinical and Laboratory Research·Lou Brundin
Sep 17, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Christian HollandMartin R Turner
May 1, 2020·British Journal of Neurosurgery·Amad Khan, Nilesh Mundil
Mar 11, 2021·Multiple Sclerosis and Related Disorders·Sophie PéloquinPatrice Lazure
Sep 11, 2021·BMC Medical Education·Joanne KerinsVictoria Ruth Tallentire
Aug 10, 2021·Journal of the Chinese Medical Association : JCMA·Wen-Ling LeePeng-Hui Wang

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