Needle diameter in outpatient myelography: rates of adverse effects and current practice trends.

Abstract:

:Telephone calls were made to 1251 consecutive patients one day following outpatient myelography. Data were available on 518 patients punctured with 22-gauge (g) (large-diameter) and 465 with 25-g (small-diameter) spinal needles. We surveyed 48 academic and private practice groups regarding needle diameter use in myelography; data were obtained from 34 private practice and 14 academic radiology departments. Patients reported adverse effects including mild and severe headache, back pain and nausea. The percentage of total adverse effects was significantly greater in the 22-g than in the 25-g needle group. The percentage of patients with headache was higher in the 22-g than in the 25-g group, but this difference was not statistically significant. Only 19% of private practice groups and 17% of academic centers use 25-g needles; the remainder use 20-g or 22-g needles.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Woodcock RJ,Marx WF,Johnson RM,Lowe JM,Lipper MH,Kallmes DF

doi

10.1007/s002340050902

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

371-4

issue

5

eissn

0028-3940

issn

1432-1920

journal_volume

42

pub_type

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