Spinal Needle Determinants of Rate of Transdural Fluid Leak

Ready, L. B.; Cuplin, S.; Haschke, Richard H.; Nessly, Michael L.

doi:10.1097/00132582-199007000-00040

Cited by 25 publications

(39 citation statements)

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“…42 Furthermore, in vitro studies support a decreased CSF leak with this orientation. 43 Although half of the patients who reported a PDPH described their worst symptoms as severe, no blood patches were performed in the 13 patients who had a PDPH in the course of this study. Few data exist concerning the use of the 27 needle, 4 but these support our observations that blood patches are rarely required because of resolution of symptoms within a reasonable period of time.…”

Section: Discussionmentioning

confidence: 93%

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

1993

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Section: Discussionmentioning

confidence: 93%

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

1993

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“…[11] There are many studies proving that blunt-tipped needles reduce the incidence of headache. [12][13][14][15] Westbrook et al [15] and Ready et al, [13] in their distinct studies with blunt-and sharp needles having the same outer diameter, found that CSF loss was less with blunt needles. Katı et al, [16,17] in a study with 60 patients, did not find any statistically significant difference between blunt and sharp needles with regard to headache.…”

Section: Discussionmentioning

confidence: 99%

“…In the studies with spinal anesthesia practices comparing the blunt needles and sharp needles with smaller diameter, it was reported that blunt needles were less likely to cause to headache. [13][14][15] Vascular penetration during invasive processes is a risk factor that may happen in all injection procedures. Potential complications of this situation are bleeding, hematoma formation, and intravascular drug injection.…”

Section: Discussionmentioning

confidence: 99%

Comparison Of Blunt And Sharp Needles For Transforaminal Epidural Steroid Injections

Özcan¹,

Şahín²,

Gurbet³

et al. 2012

Agri

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Özet Amaç SummaryObjectives: The aim of this study was to compare the sharp and blunt needles in order to determine the incidence of complications during transforaminal anterior epidural steroid injections. Methods: In this retrospective study, 185 cases that undergo transforaminal epidural steroid injection with sharp or blunt needles were evaluated between June 2004 and December 2008. Patients age, sex, diagnosis, needle type (sharp or blunt), volume of local anesthetic and steroid injected, complications (paresthesia, dural puncture, bleeding, paralysis, intravascular penetration, headache, local back pain, temporary motor loss in lower extremities) was recorded. Results: 3 cases in blunt needle group and 8 cases in sharp needle group showed paresthesia during the procedure. The difference was not found to be significant among the groups. Vascular penetration was observed in 2 cases in blunt and 13 cases in sharp needle group and the difference between groups was statistically significant (p<0.001). Dural puncture and headache incidence were not significant when the two groups are compared. The local back pain at the injection site had a higher incidence in the blunt needle group. Conclusion: When using the blunt needles, vascular penetration and paresthesia were less during transforaminal epidural steroid injections. Therefore blunt needles seem to be more advantageous.

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“…This causes an atraumatic splitting of the dural fibres rather than the cutting action of the quincke. Sprotte needle has blunted tip causes atraumatic splitting of dural fibres [24] [25].…”

Section: Needle Designmentioning

confidence: 99%

Perioperative Management of post dural puncture headache

Shaikh¹,

Ramesh²

2015

Int J of Biomed & Adv Res

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Post dural puncture headache (PDPH) is a common complication of interventional neuraxial procedures. It carries a considerable morbidity with symptoms lasting for several days, sometimes severe enough to immobilise the patient. If left untreated it can result in serious complication which may be fatal. It is therefore important that the doctors should aware of the methods available for reducing the incidence of PDPH. This article reviews the scientific literature involved in the management of PDPH including the epidural blood patch.

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Spinal Needle Determinants of Rate of Transdural Fluid Leak

Cited by 25 publications

References 0 publications

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

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

Comparison Of Blunt And Sharp Needles For Transforaminal Epidural Steroid Injections

Perioperative Management of post dural puncture headache

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