Document Detail

Total spinal in an infant: can 'dry taps' occur with 20G Tuohy needles?
MedLine Citation:
PMID:  18184252     Owner:  NLM     Status:  MEDLINE    
The loss-of-resistance technique was used to place a 20G epidural needle in the lumbar region in an anesthetized and paralyzed infant. There was no cerebrospinal fluid (CSF) leakage and a 24G catheter was inserted through the needle. At end of surgery, when the patient was breathing spontaneously and a bupivacaine bolus was given through the catheter, a total spinal block was identified. A bench test demonstrated that CSF leakage from a 20G needle can be delayed if CSF pressure is low and if air bubbles are present in the needle.
Christer Jonmarker; Jonathan C Rowell; Olof Jonmarker
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  18     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-10     Completed Date:  2008-03-27     Revised Date:  2009-01-02    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  184-7     Citation Subset:  IM    
Department of Anesthesiology and Pain Medicine, Children's Hospital and Regional Medical Center and the University of Washington School of Medicine, Seattle, WA 98105, USA.
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MeSH Terms
Analgesia, Epidural / adverse effects*
Needles / adverse effects*
Postoperative Period
Spinal Puncture
Comment In:
Paediatr Anaesth. 2008 Nov;18(11):1102   [PMID:  18950335 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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