POSTDURAL PUNCTURE HEADACHE IN YOUNG-PATIENTS - A COMPARATIVE-STUDY BETWEEN THE USE OF 0.52 MM (25-GAUGE) AND 0.33 MM (29-GAUGE) SPINAL NEEDLES

被引:50
作者
GEURTS, JW
HAANSCHOTEN, MC
VANWIJK, RM
KRAAK, H
BESSE, TC
机构
[1] Institute of Anaesthesiology, University Hospital, Utrecht
关键词
Anesthetic technique: regional; complications: backache; headache; spinal;
D O I
10.1111/j.1399-6576.1990.tb03101.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In a prospective study of 80 patients under 40 years of age, given spinal anaesthesia through either a 0.52 mm (25‐gauge) needle or a 0.33 mm (29‐gauge) needle, the incidence of post‐dural puncture headache and backache was compared. There were no headaches in the 0.33 mm needle group, while in the 0.52 mm needle group an incidence of 25% was found. The incidence of backache was the same in both groups. The technique of performing spinal anaesthesia was evaluated and concluded to be slightly more difficult with a 0.33 mm needle, as estimated by the number of redirections of the needle needed to obtain cerebrospinal fluid. There were no differences between the two needles with respect to obtaining adequate spinal anaesthesia and spread of blockade. © 1990 Acta Anaesthesiologica Scandinavica Fonden
引用
收藏
页码:350 / 353
页数:4
相关论文
共 22 条
[1]  
BAYSINGER CL, 1986, ANESTH ANALG, V65, P1242
[2]   POSTPUNCTIONAL HEADACHE [J].
DIENER, HC ;
BENDIG, M ;
HEMPEL, V .
FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE, 1985, 53 (09) :344-349
[3]  
DIGIOVANNI AJ, 1972, ANESTH ANAL CURR RES, V51, P226
[4]   ANATOMICAL RE-EVALUATION OF LUMBAR DURA MATER WITH REGARD TO POSTSPINAL HEADACHE - EFFECT OF DURAL PUNCTURE [J].
DITTMANN, M ;
SCHAFER, HG ;
ULRICH, J ;
BONDTAYLOR, W .
ANAESTHESIA, 1988, 43 (08) :635-637
[5]  
EMORY M L, 1948, Am Pract Dig Treat, V2, P451
[6]   THEOPHYLLINE RELIEVES HEADACHE FOLLOWING LUMBAR PUNCTURE - PLACEBO-CONTROLLED, DOUBLE-BLIND PILOT-STUDY [J].
FEUERSTEIN, TJ ;
ZEIDES, A .
KLINISCHE WOCHENSCHRIFT, 1986, 64 (05) :216-218
[7]   POSTDURAL PUNCTURE HEADACHE - A COMPARISON BETWEEN 26-GAUGE AND 29-GAUGE NEEDLES IN YOUNG-PATIENTS [J].
FLAATTEN, H ;
RODT, SA ;
VAMNES, J ;
ROSLAND, J ;
WISBORG, T ;
KOLLER, ME .
ANAESTHESIA, 1989, 44 (02) :147-149
[8]   SPINAL-ANESTHESIA FOR OUTPATIENT SURGERY [J].
FLAATTEN, H ;
RAEDER, J .
ANAESTHESIA, 1985, 40 (11) :1108-1111
[9]   POSTOPERATIVE HEADACHE IN YOUNG-PATIENTS AFTER SPINAL-ANESTHESIA [J].
FLAATTEN, H ;
RODT, S ;
ROSLAND, J ;
VAMNES, J .
ANAESTHESIA, 1987, 42 (02) :202-205
[10]  
GIELEN M, 1989, REGION ANESTH, V14, P101