Spinal Anaesthesia in Young Patients Using a 29-Gauge Needle: Technical Considerations and an Evaluation of Postoperative Complaints Compared With General Anaesthesia

Dahl, Jørgen B.; Schultz, P.; Anker‐Møller, E.; Christensen, Erika Frischknecht; Staunstrup, Henrik; Carlsson, P.

doi:10.1093/bja/64.2.178

Cited by 84 publications

(48 citation statements)

References 10 publications

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“…Postdural puncture backache (PDPB) is the most common complaint after spinal anesthesia (1,2). The incidence ranges from 2% to 29% in adults (3,4).…”

Section: Introductionmentioning

confidence: 99%

Does Atraucan cause more postdural puncture backache?

Abdullayev¹,

Küçükebe²,

Çelik³

et al. 2015

Turk J Med Sci

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Data of 256 pregnant female patients who underwent cesarean delivery under spinal anesthesia at the Adıyaman University Research Hospital between July and August Background/aim: Postdural puncture backache (PDPB) is the most frequent complaint after spinal anesthesia. In the literature its importance is generally overshadowed by postdural puncture headache. We studied two different kinds of spinal anesthesia needles to compare their technical handling capacities and incidences of PDPB.Materials and methods: Data of 256 pregnant female patients undergoing cesarean delivery under spinal anesthesia were collected for the study. Patients were divided into two groups as Group A (n = 109) and Group Q (n = 147) according to the spinal needle used for spinal anesthesia (i.e. 26-gauge atraumatic and 26-gauge Quincke needles, respectively). Backache incidences during a 1-week period postoperatively and handling characteristics of the needles were noted.Results: Spinal anesthesia was successfully performed at one attempt in 92.7% and 86.4% of patients in Groups A and Q, respectively. PDPB was encountered in 62.4% and 44.2% of patients in Groups A and Q, respectively, and the difference was statistically significant (P = 0.037). Conclusion:Both 26-gauge Atraucan and Quincke needles have excellent handling characteristics. PDPB seems to be less common with the 26-gauge Quincke needle than with the Atraucan needle.

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“…Postdural puncture backache (PDPB) is the most common complaint after spinal anesthesia (1,2). The incidence ranges from 2% to 29% in adults (3,4).…”

Section: Introductionmentioning

confidence: 99%

Does Atraucan cause more postdural puncture backache?

Abdullayev¹,

Küçükebe²,

Çelik³

et al. 2015

Turk J Med Sci

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“…In adult studies of atypical headache after lumbar puncture, the incidence ranges from 2.5 to 14%, with most studies reporting in the 4-7% range. 1s, 19,[21][22][23][24][25][26] The increased incidence of atypical headache in the present study may be due to study design in which direct verbal contact was initiated with parents on days 1, 3 and 5 for interrogation about headache symptomatology. Moreover, the administration of intrathecal chemotherapeutic agents in 86% of patients in the present study may have contributed to the higher incidence of atypical headache.…”

Section: Discussionmentioning

confidence: 80%

Postdural puncture headache in paediatric oncology patients

et al. 1998

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Postdural puncture headache in paediatric oncology patientsPurpose: Previous studies have not determined the correlation between dural puncture and postural headache in paediatric patients. Furthermore, no studies have evaluated the correlation between atypical headache and dural puncture iri the paediatric population. Therefore, we prospectively analyzed the incidence of typical postdural puncture headache (PDPHA) and atypical headache in paediatric ontology patients following dural puncture. Methods: The study population consisted of 66 paediatric patients undergoing 128 consecutive procedures, including 99 lumbar punctures and 29 bone marrow aspirations without concomitant lumbar puncture. Patients were prospectively randomized into four groups: Group I, preteens (< 13 yr) undergoing lumbar puncture, Group II, adolescents (13-21 yr) undergoing lumbar puncture, Group III, preteens undergoing bone marrow aspiration, and Group IV, adolescents undergoing bone marrow aspiration. The presence and description of headache was documented immediately after dural puncture or bone marrow aspiration, and on post-procedure days # I, 3 and 5 by personnel blinded to the type of procedure. Results: There was an increase in the incidence of headache (9. 1%) after lumbar puncture in patients < 21 yr relative to patients undergoing bone marrow aspiration (P < 0.05). No difference was found between the incidence of typical PDPHA after dural puncture in preteens and adolescents. There was also no difference in the incidence of atypical headache after dural puncture or after bone marrow aspiration among preteens and adolescents. Conclusions: Paediatric patients experience an increased incidence of typical postdural puncture headache after dural puncture compared with age-matched patients undergoing bone marrow aspiration only. Atypical headache is relatively common in the paediatric population after dural puncture or bone marrow aspiration.Objecdf: Les &udes ant&ieures n'ont pas &abli de correlation entre la ponction durale et ta c~phal~e posturale chez les patients pEdiatriques. En outre, aucune Etude de cette population n'a EvaluE le lien entre la cEphalEe atypique et la ponction durale. Par consequent, ~ la suite d'une ponction durale, nous avons analys~ de fa~on prospective I'incidence d'une cEphalEe de ponction postdurale (CPPD) typique et atypique chez des patients d'oncologie pEdiatrique. M~thode : La population de I'Etude 6tait constituEe de 66 patients de p6diatrie subissant 128 examens cons&utifs, comprenant 99 ponctions Iombaires et 29 ponctions m6dullaires sans ponction Iombaire concomitante. Les patients ont ~t~ r~partis au hasard en quatre groupes de fa~on prospective: Groupe I de pr6-adolescents (< 13 ans) subissant une ponction Iombaire; Groupe II d'adolescents (13-21 ans) subissant une ponction lombaire; Groupe III de prE-adolescents inscrits pour une ponction mEdullaire et Groupe IV d'adolescents pour une ponction mEdullaire. La presence de cEphalEe a EtE vErifiEe et dEcrite immEdiatement aprEs la ponction durale ...

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“…hence, less chances of PDPH [17]. Though the incidence of PDPH is minimal with 29 G needle, technical difficulties and more failure rates (8-17%) are reported apart from irreversible damage to needle [15,18].…”

Section: Discussionmentioning

confidence: 99%

Lateral Approach : A Better Technique for Spinal Anaesthesia in the Modern Era

Khanduri

2002

Medical Journal Armed Forces India

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The most commonly used technique in routine spinal anaesthesia practke is the midline approach. compared to the lateral or paramedian approach. With the better understanding of the technique and introduction of fine gauge spinal needles. this practice needs a rethinking. Lateral approach was used in 60 patients undergoing different surgical procedures below the umbilicus, using 24 or 25 gauge, Quincke spinal needle without an introducer. The result was gratifying. In 77% of the cases the subarachnoid space could be entered in the first attempt. There was no failure. No patient complained of postdural puncture headache or post operative backache. Only one patient reported paraesthesia during needle placement without any residual effect. Various other advantages of the technique are discussed. Thus with due practice, lateral approach is found to be superior in modern day spinal anaesthesia.

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Spinal Anaesthesia in Young Patients Using a 29-Gauge Needle: Technical Considerations and an Evaluation of Postoperative Complaints Compared With General Anaesthesia

Cited by 84 publications

References 10 publications

Does Atraucan cause more postdural puncture backache?

Does Atraucan cause more postdural puncture backache?

Postdural puncture headache in paediatric oncology patients

Lateral Approach : A Better Technique for Spinal Anaesthesia in the Modern Era

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