Document Detail

An evaluation of a combined spinal/epidural needle set utilising a 26-gauge, pencil point spinal needle for caesarean section.
MedLine Citation:
PMID:  1466446     Owner:  NLM     Status:  MEDLINE    
We have conducted a prospective study into the ease of use and incidence of postdural puncture headache with the 'Portex' combined spinal/epidural set. The pack contains a 16-gauge Tuohy needle of standard 8 cm shaft length with a matching 26-gauge pencil point spinal needle. The study included 150 consecutive combined spinal/epidural anaesthetics for lower segment Caesarean section. Eighty-eight percent of the cases fulfilled the criteria as technically perfect, i.e. cerebrospinal fluid obtained at the first attempt after identifying the epidural space. There were two cases of significant postdural puncture headache requiring blood patch due to puncture by the 26-gauge spinal needle giving an incidence of 1.3%. This compares favourably with previously reported rates in obstetric patients.
J L Westbrook; F Donald; L E Carrie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  47     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1993-01-21     Completed Date:  1993-01-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  990-2     Citation Subset:  AIM; IM    
Nuffield Department of Anaesthetics, Oxford.
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MeSH Terms
Anesthesia, Epidural / instrumentation*
Anesthesia, Obstetrical / instrumentation*
Anesthesia, Spinal / adverse effects,  instrumentation*
Cesarean Section*
Evaluation Studies as Topic
Headache / prevention & control
Prospective Studies
Comment In:
Anaesthesia. 1993 Sep;48(9):836-7   [PMID:  8214526 ]

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

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