2006
DOI: 10.1097/01.nrl.0000219638.81115.c4
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Bevel Direction and Postdural Puncture Headache

Abstract: Our meta-analysis indicates that with use of a cutting needle, insertion in a parallel/longitudinal fashion may significantly reduce the incidence of PDPH, although the reasons for this decrease are unclear.

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Cited by 93 publications
(47 citation statements)
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“…The overall postdural puncture headache in this study was 42.6% which is comparable to Egypt study [10], but excessively higher than other studies report [9,11,12]. The high percentage of prevalence of PDPH in this study might be related with the most 77.8 % of participants were received spinal anesthesias using big spinal needle.…”
Section: Discussionsupporting
confidence: 61%
“…The overall postdural puncture headache in this study was 42.6% which is comparable to Egypt study [10], but excessively higher than other studies report [9,11,12]. The high percentage of prevalence of PDPH in this study might be related with the most 77.8 % of participants were received spinal anesthesias using big spinal needle.…”
Section: Discussionsupporting
confidence: 61%
“…Compared with opioid analgesia, CPNB (regardless of catheter location) provides better postoperative analgesia and leads to reductions in opioid use as well as the incidence of nausea, vomiting, pruritus and sedation (Richman et al, 2006 Level I).…”
Section: Continuous Peripheral Nerve Blockadementioning
confidence: 99%
“…The direction of the needle bevel during insertion also contributes to the occurrence of PDPH. If the bevel of the spinal needle is inserted perpendicular to the fibres of the Dura (which are believed to run longitudinally) an increased incidence of PDPH is expected [1,2,[4][5][6]13,14].…”
Section: Introductionmentioning
confidence: 99%