Comparison of the force required for dural puncture with different spinal needles and subsequent leakage of cerebrospinal fluid.

Abstract:

:An in vitro model was used to determine the force required to pierce bovine dura with a range of new spinal needles and to measure the subsequent leakage rate of cerebrospinal fluid (CSF). A significantly greater force was required to pierce the dura with pencil-point style needles compared to Quincke needles of the same size. Quincke needles caused a greater loss of CSF than their pencil-point equivalents. The results suggest that there is not likely to be a significant reduction in postdural puncture headache (PDPH) using a 27-gauge pencil-point needle compared to a 25-gauge needle that may be easier to use. Different makes of the same design and gauge of needle showed significant differences in the amount of CSF leakage, which may influence the clinician's choice of needle.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Westbrook JL,Uncles DR,Sitzman BT,Carrie LE

doi

10.1213/00000539-199410000-00026

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

769-72

issue

4

eissn

0003-2999

issn

1526-7598

journal_volume

79

pub_type

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