Comparison of Size of Two Spinal Needles in Post - Dural Puncture Headac H E : A Retrospective Study

Bajwa, Baljit Singh; Cheema, Hassan; Kaur, Kulbir

doi:10.14260/jemds/2015/2452

Cited by 6 publications

(15 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bajwa et al recorded first attempt success rate with 23 G spinal needle as 92.8% and with 86.2% with 26 G spinal needle. 9 Mohammed et al reported 85% 1st attempt success with 25 G Quincke needle. 10 Oberhofer when examined 26-gauge spinal, recorded first attempt success rate of 72.9% and second attempt success rate as 20.3%.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8] Technical difficulty while using thinner needles further hampers the first attempt success rate and increases failure of block. 5,9,10 Considering how the needle gauge affects the performance of SA and how this can interfere with success of SA, authors compared the different gauge spinal needles i.e. 23, 25 and 26 G needles with regards to technical difficulty, success rate, quality of block and complications.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A comparison of three different gauge Quincke’s spinal needles in patients undergoing elective surgery under spinal anaesthesia: a prospective randomized study

2019

View full text Add to dashboard Cite

Background: The present study was conducted to compare three different Quincke’s spinal needles i.e. 23, 25 and 26 gauge in patients undergoing elective surgery under spinal anaesthesia (SA).Methods: The prospective randomized double-blind study was conducted on 150 male patients in the age group of 18-50 yrs., having physical status class I to II, scheduled for elective surgery under SA. Patients were randomly divided into three groups comprising 50 patients each. SA was administered using Quincke’s spinal needles of 23, 25 and 26 gauge in group 1, 2 and 3 respectively. Ease of insertion, number of attempts and time of appearance of CSF and incidence of PDPH was recorded in all the patients.Results: Ease of insertion was graded easy in 98%, 84% and 82% in group 1, 2 and 3 respectively. First attempt success rate was highest in group 1, (98%). Meantime for appearance of CSF beyond hub was maximum in group 3 i.e. 14.60±2.56 sec. Mild PDPH was reported in 6% and 2% patients after 24 hrs in group 1 and group 2 respectively.Conclusions: Finer spinal needle proved to be more dependable in generating less traumatic effect on the dura and preventing PDPH but are technically more difficult thus decreasing first attempt success rate.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparison of three different gauge Quincke’s spinal needles in patients undergoing elective surgery under spinal anaesthesia: a prospective randomized study

2019

View full text Add to dashboard Cite

show abstract

“…This disease is prevalent in Indian, Mediterranean, South Chinese, Middle Eastern, and Southeast Asian descent (Li, 2017). As it is an autosomal recessive disorder, both parents must be affected by or be carriers of the gene to pass it to their offspring (Bajwa & Basit, 2019).…”

Section: Thalassemiamentioning

confidence: 99%

“…The symptoms of thalassemia are dependent on its severity and type. Common symptoms include: pale skin, deformed facial or skeletal bones, and arrhythmias (Bajwa & Basit, 2019). Symptoms may be absent in silent carriers of α-thalassemia (Shafique et al, 2021).…”

Section: Thalassemiamentioning

confidence: 99%

Iron in blood cells: Function, relation to disease, and potential for magnetic separation

Barua

Ciannella

Tijani

et al. 2023

Biotech & Bioengineering

View full text Add to dashboard Cite

Iron in blood cells has several physiological functions like transporting oxygen to cells and maintaining iron homeostasis. Iron is primarily contained in red blood cells (RBCs), but monocytes also store iron as these cells are responsible for the recycling of senescent RBCs. Iron also serves an important role related to the function of different leukocytes. In inflammation, iron homeostasis is dependent on cytokines derived from T cells and macrophages. Fluctuations of iron content in the body lead to different diseases. Iron deficiency, which is also known as anemia, hampers different physiological processes in the human body. On the other hand, genetic or acquired hemochromatosis ultimately results in iron overload and leads to the failure of different vital organs. Different diagnoses and treatments are developed for these kinds of disorders, but the majority are costly and suffer from side effects. To address this issue, magnetophoresis could be an attractive technology for the diagnosis (and in some cases treatment) of these pathologies due to the paramagnetic character of the cells containing iron. In this review, we discuss the main functions of iron in blood cells and iron‐related diseases in humans and highlight the potential of magnetophoresis for diagnosing and treating some of these disorders.

show abstract

“…β-thalassemia major (β-TM) is an inherited autosomal recessive disorder caused by either reduction or absence in β-globin chain synthesis [ 1 ]. Despite the rare dominant forms, patients with β-TM are either homozygotes or compound heterozygotes for β0 or β+ genes [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Ramadan Intermittent Fasting on the Severity of β-Thalassemia Major Patients

Ibraheem¹

2023

Cureus

View full text Add to dashboard Cite

Background: β-thalassemia major (β-TM) is an inherited autosomal recessive disorder manifested by the hemoglobin β chain synthesis alteration. It is a lifelong illness with a scope of a wide range of complications. Many kinds of literature evaluated the effect of Ramadan intermittent fasting (RIF) on different medical conditions. However, there are no precise guidelines regarding its effect on patients with β-TM.Methods: A retrospective cohort study was conducted on β-TM patients who visited the hereditary blood disorder center at Al Karama Teaching Hospital in Baghdad. Accordingly, six parameters were used to evaluate the effect of RIF on β-TM patients before, during, and after Ramadan. These parameters include hemoglobin level, frequency of transfusion, aspartate aminotransferase (AST) level, alanine aminotransferase (ALT) level, left ventricular ejection fraction % (EF%), and spleen size. All of these details, including the demographic characteristics of age, gender, history of splenectomy, and body mass index (BMI) were retrieved from the patient's medical records after confirming their fasting through one-to-one interviews. This study aimed to fill the gap and investigate the possible effect of RIF on the severity of β-TM.Results: A total of 184 β-TM patients were enrolled in this study. The mean duration of fasting was 25.2±2.18 days. More than half (110) of the patients were females (59.8%). Whereas, the mean age was 24.8±3.5 years. One-third of the patients (65) had a splenectomy (35.3%) and more than two-thirds had normal BMI. The initial parameters used to score the severity of β-TM were evaluated separately. As a result, the hemoglobin level remained steady without any statistical significance during the three months. In addition, the frequency of blood transfusion and the spleen size carried the same result. Although the lowest median and range of liver enzymes were recorded during Ramadan, they were statistically insignificant compared to pre and post-fasting. Moreover, the left ventricular EF% was insignificant regardless of the patient's history of heart disease.Conclusion: This study revealed that RIF does not seem to affect the severity of β-TM if the patients proceed with fasting. However, further studies in more countries with a bigger sample size are recommended to confirm these findings.

show abstract

Comparison of Size of Two Spinal Needles in Post - Dural Puncture Headac H E : A Retrospective Study

Cited by 6 publications

References 15 publications

A comparison of three different gauge Quincke’s spinal needles in patients undergoing elective surgery under spinal anaesthesia: a prospective randomized study

A comparison of three different gauge Quincke’s spinal needles in patients undergoing elective surgery under spinal anaesthesia: a prospective randomized study

Iron in blood cells: Function, relation to disease, and potential for magnetic separation

Effects of Ramadan Intermittent Fasting on the Severity of β-Thalassemia Major Patients

Contact Info

Product

Resources

About