Advancing atraumatic needles?

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Cost comparison between the atraumatic and cutting lumbar puncture needles.

OBJECTIVE The aim of this study was to determine which type of spinal needle is preferred from a cost perspective, taking into account costs of the spinal needle and treatment of postlumbar puncture headache. METHODS A decision-analytic model was created to determine the cost of diagnostic lumbar punctures using atraumatic and cutting needles. We assumed a health care system perspective and b...

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Why should we use atraumatic needles in lumbar puncture?

Diagnostic lumbar puncture is essential to the diagnosis of central nervous system infections, subarachnoid haemorrhage and others neurological diseases. Myeloradicular involvement or life-threatening adverse events due to the procedure are rare, but less severe complications are more frequent. Post-lumbar puncture headache is the most common complication, by spinal fluid leakage due to delayed...

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Atraumatic versus traumatic lumbar puncture needles: a systematic review and meta-analysis protocol

INTRODUCTION Lumbar puncture is one of the oldest and most commonly performed procedures in medicine, used to diagnose and treat disease. Headache following lumbar puncture remains a frequent complication, causing significant patient discomfort and often requiring narcotic analgesia or invasive therapy. Needle tip design has been proposed to affect the incidence of headache postlumbar puncture,...

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Opinion on Why should we use atraumatic needles in lumbar puncture?, by SLA Matas.

Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...

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Randomised controlled trial of atraumatic versus standard needles for diagnostic lumbar puncture.

OBJECTIVE To compare the ease of use of atraumatic needles with standard needles for diagnostic lumbar puncture and the incidence of headache after their use. DESIGN Double blind, randomised controlled trial. SETTING Investigation ward of a neurology unit in a university hospital. PARTICIPANTS 116 patients requiring elective diagnostic lumbar puncture. INTERVENTIONS Standardised protoco...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2007

ISSN: 0003-2409

DOI: 10.1111/j.1365-2044.1994.tb03442.x