Needle size is not related to postdural puncture headache in orthopedic patients


(HealthDay): No cases of postural puncture headache (PDPH) were reported in a cohort of patients receiving spinal injections with smaller or larger needles for spinal anesthesia during orthopedic procedures, according to a study presented in the Annual meeting of anesthesiology and acute pain medicine, held May 13-15 at Lake Buena Vista, Florida.

Andrew Wong, MD, of Duke University Medical Center in Durham, North Carolina, and colleagues conducted a retrospective review of the chart to examine the incidence of PDPH among patients who received spinal injections for spinal anesthesia. during orthopedic procedures. The incidence of PDPH was compared with the use of a 22-gauge Quincke cutting needle and a 25-gauge pencil point. .

Data from 3,980 patients who received spinal injections were included , aged between 18 and 90 years, with an average body mass index of 29.57 kg / m². The researchers found no incidence of PDPH.

“Given the advantages of larger-caliber cutting needles in making spines successful, these results suggest that professionals may opt for these needles first, reducing the number of attempts required to achieve success and minimizing overall time for the procedure, patient discomfort from multiple attempts, and wasting smaller needles that don’t cut, ”the authors said in a statement.

The needle type does not modify the risk of epidural vascular absorption

More information:

More information

Copyright © 2021 HealthDay. All rights reserved.

Citation: Needle size is not related to postdural puncture headache in orthopedic patients (2021, May 25) recovered on May 25, 2021 at needle-size-tied-postdural-headache.html

This document is subject to copyright. Apart from any fair treatment for the purposes of private study or research, no part may be reproduced without written permission. Content is provided for informational purposes only.

Source link