Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age

BAYIR, Hakan; erbesler, zeynel abidin; Kocaoglu, Nazan; DAĞLI, Recai; ATEŞ, Hakan; YILDIZ, İsa

Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age

Hakan BAYIR, (Abant İzzet Baysal Üniversitesi, Düzce Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Bolu, Türkiye)

Recai DAĞLI, (Ahi Evran Üniversitesi,Tıp Fakültesi, Anesteziyoloji ve Reaminasyon Anabilimdalı, Kırşehir, Türkiye)

Zeynel Abidin ERBESLER, (Ahi Evran Üniversitesi,Tıp Fakültesi, Anesteziyoloji ve Reaminasyon Anabilimdalı, Kırşehir, Türkiye)

Nazan KOCAOĞLU, (Ahi Evran Üniversitesi,Tıp Fakültesi, Anesteziyoloji ve Reaminasyon Anabilimdalı, Kırşehir, Türkiye)

İsa YILDIZ, (Ahi Evran Üniversitesi,Tıp Fakültesi, Anesteziyoloji ve Reaminasyon Anabilimdalı, Kırşehir, Türkiye)

Hakan ATEŞ (Ahi Evran Üniversitesi,Tıp Fakültesi, Anesteziyoloji ve Reaminasyon Anabilimdalı, Kırşehir, Türkiye)

Acta Medica Anatolia

8 0

Yıl: 2016 Cilt: 4 Sayı: 2 Sayfa Aralığı: 73 - 76 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age

Öz:

Introduction: One of the important spinal anesthesia complications is the occurrence of postdural puncture headache (PDPH). The incidence of PDPH is related to the age, the size and tip shape of the spinal needle used and the type of surgery. Incidence may vary depending on the type and size of needle. This study was conducted to compare the frequency of PDPH using different kind of spinal needles.Methods: Data of 81 patients undergoing spinal anesthesia for lower abdominal surgery were collected for the study. Patients were divided into three groups as Group Q (n = 27), Group P (n=27) and Group A (n = 27) according to the spinal needle used for spinal anesthesia. Headache incidences during five days period postoperatively were noted.Results: The overall incidence of PDPH in this young adult population was 13.6% (11 patients of 81). PDPB was encountered in 14.8%, 11.1% and 14.8% of patients in Groups A, Q and P, respectively.Conclusion: All spinal needles used in our study have the potential to lead to PDPH in young patients undergoing spinal anesthesia for lower abdominal surgery. We did not see any advantage of using 25G Atraumatic spinal needle in young patients.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

Wulf HF. The centennial of spinal anesthesia. Anesthe- siology. 1998;89(2):500.
Pearce J. Walter Essex Wynter, Quincke, and lumbar puncture. Journal of neurology, neurosurgery, and psy- chiatry. 1994;57(2):179.
Society HCSotIH. The international classification of headache disorders. Cephalalgia: an international journal of headache. 2004;24:9.
Turnbull DK, Shepherd D. Post-dural puncture head- ache: pathogenesis, prevention and treatment. British journal of anaesthesia. 2003;91(5):718-729.
Reynolds F. Dural puncture and headache. Bmj. 1993;306(6882):874-876.
Lybecker H, Djernes M, Schmidt J. Postdural punc- ture headache (PDPH): onset, duration, severity, and associated symptoms: an analysis of 75 consecutive patients with PDPH. Acta anaesthesiologica scandi- navica. 1995;39(5):605-612.
Kang S, Goodnough D, Lee Y, Olson R, Borshoff J, Fur- lano M, et al. Comparison of 26-and 27-G needles for spinal anesthesia for ambulatory surgery patients. An- esthesiology. 1992;76(5):734-738.
Geurts J, Haanschoten M, Wijk R, Kraak H, Besse T. Post-dural 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. Acta Anaesthesiologica Scandinavica. 1990;34(5):350-353.
Campbell DC, Douglas MJ, Pavy TJ, Merrick P, Flana- gan ML, McMorland GH. Comparison of the 25-gauge Whitacre with the 24-gauge Sprotte spinal needle for elective caesarean section: cost implications. Cana- dian journal of anaesthesia. 1993;40(12):1131-1135.
Sinikoglu NS, Yeter H, Gumus F, Belli E, Alagol A, Turan N. Reinsertion of the stylet does not affect incidence of post dural puncture headaches (PDPH) after spi- nal anesthesia. Revista Brasileira de Anestesiologia. 2013;63(2):188-192.
Arevalo-Rodriguez I, Ciapponi A, Munoz L, Roqué i Figuls M, Bonfill Cosp X. Posture and fluids for preventing post- dural puncture headache. The Cochrane Library. 2013.
Matas SLdA. Why should we use atraumatic needles in lumbar puncture? Arquivos de neuro-psiquiatria. 2013;71(9B):681-684.
Alam M, Raheen M, Iqbal K, Chowdhury M. Headache following spinal anaesthesia: a review on recent up- date. Journal of Bangladesh College of Physicians and Surgeons. 2011;29(1):32-40.
Buettner J, Wresch K-P, Klose R. Postdural Puncture Headache:: Comparison of 25-Gauge Whitacre and Quincke Needles. Regional Anesthesia and Pain Medi- cine. 1993;18(3):166-169.
Evans RW, Armon C, Frohman EM, Goodin DS. Assess- ment: Prevention of post-lumbar puncture headaches Report of the Therapeutics and Technology Assess- ment Subcommittee of the American Academy of Neurology. Neurology. 2000;55(7):909-914.
Schmittner MD, Terboven T, Dluzak M, Janke A, Lim- mer ME, Weiss C, et al. High incidence of post-dural puncture headache in patients with spinal saddle block induced with Quincke needles for anorectal sur- gery: a randomised clinical trial. International journal of colorectal disease. 2010;25(6):775-781.
Holst D, Mollmann M, Ebel C, Hausman R, Wendt M. In vitro investigation of cerebrospinal fluid leakage after dural puncture with various spinal needles. Anesthesia & Analgesia. 1998;87(6):1331-1335.
Morrison L, McCrae A, Foo I, Scott D, Wildsmith J. An in vitro comparison of fluid leakage after dural punc- ture with Atraucan, Sprotte, Whitacre, and Quincke needles. Regional Anesthesia and Pain Medicine. 1996;21(2):139-143.
Vallejo MC, Mandell GL, Sabo DP, Ramanathan S. Post- dural puncture headache: a randomized comparison of five spinal needles in obstetric patients. Anesthesia & Analgesia. 2000;91(4):916-920.
De Andrés J, Valia JC, Errando C, Rico G, Lopez-Alarcon MD. Subarachnoid anesthesia in young patients: a comparative analysis of two needle bevels. Regional anesthesia and pain medicine. 1999;24(6):547-552.
Sharma S, Gambling D, Joshi G, Sidawi J, Herrera E. Com- parison of 26-gauge Atraucan® and 25-gauge Whitacre needles: insertion characteristics and complications. Canadian journal of anaesthesia. 1995;42(8):706-710.
Pan PH, Fragneto R, Moore C, Ross V, Justis G. The in- cidence of failed spinal anesthesia, postdural puncture headache and backache is similar with Atraucan and Whitacre spinal needles. Canadian Journal of Anes- thesia/Journal canadien d'anesthésie. 2002;49(6):636- 637.

APA	BAYIR H, DAĞLI R, erbesler z, Kocaoglu N, YILDIZ İ, ATEŞ H (2016). Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. , 73 - 76.
Chicago	BAYIR Hakan,DAĞLI Recai,erbesler zeynel abidin,Kocaoglu Nazan,YILDIZ İsa,ATEŞ Hakan Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. (2016): 73 - 76.
MLA	BAYIR Hakan,DAĞLI Recai,erbesler zeynel abidin,Kocaoglu Nazan,YILDIZ İsa,ATEŞ Hakan Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. , 2016, ss.73 - 76.
AMA	BAYIR H,DAĞLI R,erbesler z,Kocaoglu N,YILDIZ İ,ATEŞ H Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. . 2016; 73 - 76.
Vancouver	BAYIR H,DAĞLI R,erbesler z,Kocaoglu N,YILDIZ İ,ATEŞ H Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. . 2016; 73 - 76.
IEEE	BAYIR H,DAĞLI R,erbesler z,Kocaoglu N,YILDIZ İ,ATEŞ H "Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age." , ss.73 - 76, 2016.
ISNAD	BAYIR, Hakan vd. "Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age". (2016), 73-76.

APA	BAYIR H, DAĞLI R, erbesler z, Kocaoglu N, YILDIZ İ, ATEŞ H (2016). Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. Acta Medica Anatolia, 4(2), 73 - 76.
Chicago	BAYIR Hakan,DAĞLI Recai,erbesler zeynel abidin,Kocaoglu Nazan,YILDIZ İsa,ATEŞ Hakan Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. Acta Medica Anatolia 4, no.2 (2016): 73 - 76.
MLA	BAYIR Hakan,DAĞLI Recai,erbesler zeynel abidin,Kocaoglu Nazan,YILDIZ İsa,ATEŞ Hakan Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. Acta Medica Anatolia, vol.4, no.2, 2016, ss.73 - 76.
AMA	BAYIR H,DAĞLI R,erbesler z,Kocaoglu N,YILDIZ İ,ATEŞ H Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. Acta Medica Anatolia. 2016; 4(2): 73 - 76.
Vancouver	BAYIR H,DAĞLI R,erbesler z,Kocaoglu N,YILDIZ İ,ATEŞ H Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age. Acta Medica Anatolia. 2016; 4(2): 73 - 76.
IEEE	BAYIR H,DAĞLI R,erbesler z,Kocaoglu N,YILDIZ İ,ATEŞ H "Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age." Acta Medica Anatolia, 4, ss.73 - 76, 2016.
ISNAD	BAYIR, Hakan vd. "Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age". Acta Medica Anatolia 4/2 (2016), 73-76.