PMID: 9424969Jan 10, 1998Paper

The effect of needle type and immobilization on postspinal headache

Der Anaesthesist
J HaferG Hempelmann

Abstract

Post-dural puncture headache (PDPH) is a significant complication of spinal anaesthesia. Diameter and tip of the needle as well as the patient's age have been proven to be important determinants. The question of whether post-operative recumbency can reduce the risk of PDPH has not been answered uniformly. And besides, some studies referring to this subject reveal methodical failures, for example, as to clear definition and exact documentation of post-operative immobilization. Furthermore, fine-gauge needles (26G or more) have not been investigated yet. The first aim of our study was therefore to examine the role of recumbency in the prevention of PDPH under controlled conditions using thin needles. Secondly, we wanted to confirm the reported prophylactic effect of needles with a modified, atraumatic tip (Whitacre and Atraucan) by comparing them to Quincke needles of identical diameter. Most of the former investigators compared Quincke with atraumatic needles of different size regardless of the known influence of the diameter on PDPH. In a prospective study we included 481 consecutive patients undergoing a total of 500 orthopaedic operations under spinal anaesthesia. The latter was performed in a standardized manner (patient sit...Continue Reading

Citations

Jun 1, 2010·Cephalalgia : an International Journal of Headache·Anna SteinbergA Ingela M Nilsson Remahl
Mar 8, 2016·The Cochrane Database of Systematic Reviews·Ingrid Arevalo-RodriguezXavier Bonfill Cosp
Apr 8, 2017·The Cochrane Database of Systematic Reviews·Ingrid Arevalo-RodriguezMarta Roqué I Figuls
Mar 15, 2006·Archives of Gynecology and Obstetrics·Krzysztof M Kuczkowski
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Xavier Basurto OnaXavier Bonfill Cosp
Jul 13, 2013·The Cochrane Database of Systematic Reviews·Cathie L M Sudlow, Charles P Warlow
Mar 9, 2012·Current Pain and Headache Reports·Anna Steinberg, A Ingela M Nilsson Remahl
Apr 17, 2018·Regional Anesthesia and Pain Medicine·Andres Zorrilla-VacaMichael C Grant
Feb 7, 2021·Acta Paediatrica·David C SchorlingJanbernd Kirschner
Jul 16, 2015·The Cochrane Database of Systematic Reviews·Xavier Basurto OnaXavier Bonfill Cosp
Aug 5, 2008·Mayo Clinic Proceedings·Farrah J Mateen, David N Mohr

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