Document Detail

Is the pencil point spinal needle a better choice in younger patients? A comparison of 24G Sprotte with 27G Quincke needles in an unselected group of general surgical patients below 46 years of age.
MedLine Citation:
PMID:  7676793     Owner:  NLM     Status:  MEDLINE    
Reports have indicated that there are less postoperative complaints after the use of pencil pointed spinal needles. We compared a 24G Sprotte needle with a 27G Quincke needle in a randomised study of 200 healthy patients (49% females), aged 15-46 years. Four patients (2%) reported postdural puncture headache, three with the 24G Sprotte needle and one with the 27G Quincke needle. Thirteen patients (7%) suffered with nonspecific headache, with no significant difference between the two groups. Of the 57 (29%) who reported backpain, a significantly higher proportion had received spinal anaesthesia with the Sprotte needle (OR = 2.06). There was a significantly higher incidence of insufficient blocks after dural puncture with the Sprotte needle. Ease of needle insertion and number of puncture attempts was the same for both needle types.
G Brattebø; T Wisborg; S A Rodt; I Røste
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  39     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-10-17     Completed Date:  1995-10-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  535-8     Citation Subset:  IM    
Department of Anaesthesia and Intensive Care, Hammerfest Hospital, Norway.
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MeSH Terms
Anesthesia, Spinal / adverse effects,  instrumentation*,  methods
Back Pain / etiology
Bupivacaine / administration & dosage
Equipment Design
Headache / etiology
Lidocaine / administration & dosage
Middle Aged
Needles* / adverse effects
Nerve Block
Surface Properties
Surgical Procedures, Operative
Reg. No./Substance:
137-58-6/Lidocaine; 2180-92-9/Bupivacaine

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