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Dergiler / Acta Medica Anatolia / 2016 / Cilt: 4 - Sayı: 2

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

Hakan BAYIR
Recai DAĞLI
ZEYNEL ABİDİN ERBESLER
Nazan KOCAOĞLU
İsa YILDIZ
Hakan ATEŞ
Sayfa
73–76
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

We did not see any advantage of using 25G Atraumatic spinal needle in young patients.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Introduction: One of the important spinal anesthesia complications is the occurrence of postdural puncture headache (PDPH).
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Temel Bulgular & Veri:This study was conducted to compare the frequency of PDPH using different kind of spinal needles.Methods: Data of 81 patients undergoing spinal anesthesia for lower abdominal surgery were collected for the study.
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Sonuç & Katkı:We did not see any advantage of using 25G Atraumatic spinal needle in young patients.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Introduction: One of the important spinal anesthesia complications is the occurrence of postdural puncture headache (PDPH). The incidence of PDPH is related to the age, the size and tip shape of the spinal needle used and the type of surgery. Incidence may vary depending on the type and size of needle. This study was conducted to compare the frequency of PDPH using different kind of spinal needles.Methods: Data of 81 patients undergoing spinal anesthesia for lower abdominal surgery were collected for the study. Patients were divided into three groups as Group Q (n = 27), Group P (n=27) and Group A (n = 27) according to the spinal needle used for spinal anesthesia. Headache incidences during five days period postoperatively were noted.Results: The overall incidence of PDPH in this young adult population was 13.6% (11 patients of 81). PDPB was encountered in 14.8%, 11.1% and 14.8% of patients in Groups A, Q and P, respectively.Conclusion: All spinal needles used in our study have the potential to lead to PDPH in young patients undergoing spinal anesthesia for lower abdominal surgery. We did not see any advantage of using 25G Atraumatic spinal needle in young patients.

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Bu Makaleye Atıf Yap

BAYIR, H., DAĞLI, R., ERBESLER, Z. A., KOCAOĞLU, N., YILDIZ, İ., ATEŞ, H. (2016). 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. Acta Medica Anatolia, Cilt: 4 - Sayı: 2, 73–76. https://ajindex.com/articles/142045

Kaynakça (10)

  1. Wulf HF. The centennial of spinal anesthesia. Anesthe- siology. 1998;89(2):500. Pearce J. Walter Essex Wynter, Quincke, and lumbar puncture. Journal of neurology, neurosurgery, and psy- chiatry. 1994;57(2):179. Society HCSotIH. The international classification of headache disorders. Cephalalgia: an international journal of headache. 2004;24:9. Turnbull DK, Shepherd D. Post-dural puncture head- ache: pathogenesis, prevention and treatment. British journal of anaesthesia. 2003;91(5):718-729. Reynolds F. Dural puncture and headache. Bmj. 1993;306(6882):874-876.
  2. Lybecker H, Djernes M, Schmidt J. Postdural punc- ture headache (PDPH): onset, duration, severity, and associated symptoms: an analysis of 75 consecutive patients with PDPH. Acta anaesthesiologica scandi- navica. 1995;39(5):605-612.
  3. Kang S, Goodnough D, Lee Y, Olson R, Borshoff J, Fur- lano M, et al. Comparison of 26-and 27-G needles for spinal anesthesia for ambulatory surgery patients. An- esthesiology. 1992;76(5):734-738.
  4. Geurts J, Haanschoten M, Wijk R, Kraak H, Besse T. Post-dural puncture headache in young patients. A comparative study between the use of 0.52 mm (25- gauge) and 0.33 mm (29-gauge) spinal needles. Acta Anaesthesiologica Scandinavica. 1990;34(5):350-353.
  5. Campbell DC, Douglas MJ, Pavy TJ, Merrick P, Flana- gan ML, McMorland GH. Comparison of the 25-gauge Whitacre with the 24-gauge Sprotte spinal needle for elective caesarean section: cost implications. Cana- dian journal of anaesthesia. 1993;40(12):1131-1135.
  6. Sinikoglu NS, Yeter H, Gumus F, Belli E, Alagol A, Turan N. Reinsertion of the stylet does not affect incidence of post dural puncture headaches (PDPH) after spi- nal anesthesia. Revista Brasileira de Anestesiologia. 2013;63(2):188-192.
  7. Arevalo-Rodriguez I, Ciapponi A, Munoz L, Roqué i Figuls M, Bonfill Cosp X. Posture and fluids for preventing post- dural puncture headache. The Cochrane Library. 2013. Matas SLdA. Why should we use atraumatic needles in lumbar puncture? Arquivos de neuro-psiquiatria. 2013;71(9B):681-684.
  8. Alam M, Raheen M, Iqbal K, Chowdhury M. Headache following spinal anaesthesia: a review on recent up- date. Journal of Bangladesh College of Physicians and Surgeons. 2011;29(1):32-40.
  9. Buettner J, Wresch K-P, Klose R. Postdural Puncture Headache:: Comparison of 25-Gauge Whitacre and Quincke Needles. Regional Anesthesia and Pain Medi- cine. 1993;18(3):166-169.
  10. Evans RW, Armon C, Frohman EM, Goodin DS. Assess- ment: Prevention of post-lumbar puncture headaches Repo