The incidence of failed spinal anesthesia, postdural puncture headache and backache is similar with Atraucan and Whitacre spinal needles

High success rate and low incidence of headache and neurological symptoms with two spinal needle designs in children*

“…The 4–5% incidence of PDPH in this study is similar to that reported with 25G−29G Quincke spinal needles in children (7, 10) and with the Atraucan and Whitacre needles in adults (12, 14). The age range of children with PDPH was 2–15 years, with is consistent with previous reports indicating that PDPH is not an age‐dependent complaint in children (8).…”

“…Sharma et al (12), De Andres et al (13) and Pan et al (14) compared the 26G Atraucan needle with the 25G/27G Whitacre needles in young adults and reported a lower one‐attempt success rate: 61–62% with both types of needle. In addition, the incidence of failed spinal blockade was higher in adults, up to 8%, compared with only one totally failed SA with the Atraucan needle in the present trial.…”

Spinalanästhesie in der Tageschirurgie

“…Wenngleich der Blockadeerfolg insgesamt dem anderer Publikationen entsprach [19], lag die Versagerquote im Sinne unzureichender Analgesieniveaus mit 8% über den bisherigen Erfahrungswerten. Die entscheidende Veränderung im Rahmen des Studiendesigns war die erhöhte Lagerung des Oberkörpers wäh-rend und nach der Injektion des Lokalanästhetikums, die offensichtlich häu-figer zu einer eingeschränkten Ausbreitung der hyperbaren Lokalanästhetika führte.…”

Is the Atraumatic spinal needle a better choice in younger patients? A comparison of 25G Spinal needles in a group of general surgical patients below 40 years of age

“…Andres et al (20) and Sharma et al (21) reported that the PDPH incidences were similar in 26-gauge atraumatic spinal needles and 25-gauge or 27-gauge pencil-point needles. Additionally, in another study it was reported that the 26-gauge atraumatic and 25-gauge pencil-point spinal needles were associated with a similar incidence of PDPH (22).…”