Postdural puncture headache: a randomized prospective comparison of the 24 gauge Sprotte and the 27 gauge Quincke needles in young patients

Wiesel, Saul; Tessler, Michael J.; Easdown, L. Jane

doi:10.1007/bf03009696

Cited by 25 publications

(10 citation statements)

References 30 publications

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“…Frequency of PDPH with 25‐G Quincke spinal needles ranged from 4% to 40% . It ranged from 0% to 12.8% when 27‐G Quincke spinal needles were used. In a study by Eriksson et al, the use of Whitacre spinal needles led to less technical difficulties, fewer failed blocks, and fewer multiple punctures than those with cutting spinal needles.…”

Section: Discussionmentioning

confidence: 99%

Lower incidence of postdural puncture headache using whitacre spinal needles after spinal anesthesia: A meta‐analysis

Zhang

Chen

et al. 2016

Headache

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Section: Discussionmentioning

confidence: 99%

Lower incidence of postdural puncture headache using whitacre spinal needles after spinal anesthesia: A meta‐analysis

Zhang

Chen

et al. 2016

Headache

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“…In the present study the onset of PDPH was started on the 1st postoperative day and gradually decreased on the subsequent days it was in the first day 46% (6/13), in the second day it was 46% (6/13) and third day was 8% (1/13) after spinal injection, none of the 13 patients required an epidural blood patch and all symptoms were relieved by conventional means in all patients within three days. The incidences of PDPH with 27 gauge Whitacre spinal needle ranges from 1.1-12.8% (Lynch et al, 1994;Wiesel et al, 1993).…”

Section: Groups -----------------------------------------------------mentioning

confidence: 99%

Post Dural Puncture Headache after Spinal Anesthesia for Caesarean Section: A Comparison of 27G Quincke and Whitacre Spinal Needles in Midline and Paramedian Approaches

Montasser¹

2014

J. of Medical Sciences

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Eight hundred full term pregnant women, ASA I-II, at age of 18-44 years old, scheduled for elective caesarean section, under spinal anesthesia, were randomized into four groups: Group I (27G Quincke spinal needle midline approach), Group II (27G Quincke spinal needle par median approach), Group III (Whitacre spinal needle midline approach) and Group IV (27G Whitacre spinal needle, par median approach). Spinal anesthesia was performed with 2.4-3 mL 0.5% hyperbaric bupivacaine, at L3-4 inter-vertebral space. Each patient was assessed daily for four consecutive days following caesarean section. Frequency and severity of post PDPH were recorded and treated by conventional treatment. All data were analyzed using SPSS-17. The frequency of PDPH following the use of 27G Quincke spinal needle midline approach (Group I) was 3.0% (6/200), 27G Quincke spinal needle par median approach (Group II) was 2.0% (4/200), 27G Whitacre spinal needle midline approach (Group III) was 1.5% (3/200) and 27G Whitacre spinal needle, Paramedian approach (Group IV) was 0.0% (0/200). The PDPH was mild in two patients, moderate in three patients and severe in one patient (Group I). It was mild in three and moderate in one patient in Group II, it was only mild in three patients in Group III and no any cases reported in Group IV. Also severe PDPH did not occur in Groups II, III and IV. Most of the patients with PDPH developed on 1st and 2nd postoperative day, only one case developed in the third day. When using a 27G Whitacre spinal needle in par median approach, the frequency of PDPH was significantly lower than when the same needle used in midline approach or 27G Quincke needle in bath approaches. None of the thirteen patients suffered from PDPH required an epidural blood patch. All symptoms were relieved by conventional means in all patients. Day of onset of PDPH was the same in all groups.

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“…Of the 40 articles to which we refer and which were published between 1990 and 2002, 9 review existing literature and refer to numerous studies but often do not mention how many patients are included in the studies [5,7,8,10,11,13,15,23,34]. Twenty-one articles are prospective studies, referring to other studies in the discussion [3,6,9,12,14,16,17,18,19,20,21,22,25,28,32,33,35,37,38,39,41]; four are retrospective studies [1,26,31,40], three are case reports followed by literature review [4,27,36]; two editorials [2,29] and one is a letter [30].…”

Section: Introductionmentioning

confidence: 97%

Post-dural puncture headaches in children. A literature review

Janssens

Aerssens²,

Alliët³

et al. 2003

Eur J Pediatr

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Postdural puncture headache: a randomized prospective comparison of the 24 gauge Sprotte and the 27 gauge Quincke needles in young patients

Cited by 25 publications

References 30 publications

Lower incidence of postdural puncture headache using whitacre spinal needles after spinal anesthesia: A meta‐analysis

Lower incidence of postdural puncture headache using whitacre spinal needles after spinal anesthesia: A meta‐analysis

Post Dural Puncture Headache after Spinal Anesthesia for Caesarean Section: A Comparison of 27G Quincke and Whitacre Spinal Needles in Midline and Paramedian Approaches

Post-dural puncture headaches in children. A literature review

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