Traumatic vs. atraumatic 22 G needle for therapeutic and diagnostic lumbar puncture in the hematologic patient: a prospective clinical trial.
نویسندگان
چکیده
We investigated the impact of needle type on post lumbar puncture headache (PLPH) in hematologic patients undergoing LP. We prospectively compared traumatic (TN) vs. atraumatic 22G needles. Twenty-seven patients underwent 48 LPs, 22 with chemotherapy injection. PLPH occurred almost exclusively with TN (4% vs. 30% p=0.02), irrespective of chemotherapy injection.
منابع مشابه
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...
متن کاملAssessment: prevention of post-lumbar puncture headaches: report of the therapeutics and technology assessment subcommittee of the american academy of neurology.
Review of the literature on prevention of post-lumbar puncture headaches (PLPHAs) since the publication of the original assessment in 2000 yielded one study comparing use of cutting to atraumatic needles in diagnostic lumbar punctures, providing Class I evidence in favor of the atraumatic needle. Taken in conjunction with data from most studies in the anesthesiology literature, the Therapeutics...
متن کاملThere is room for improvement in the prevention and treatment of headache after lumbar puncture.
INTRODUCTION The incidence of post dural puncture headache (PDPH) after lumbar puncture (LP) can be reduced from 36% to 0-9% by use of an atraumatic needle size 24 gauge (G)/0.56 mm rather than a traumatic needle size 22 G/0.7 mm. The evidence supporting some of the prophylactic and therapeutically treatments of PDPH is sparse. The objective of this study was to clarify which needles doctors at...
متن کاملRandomised 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...
متن کاملIntroduction of Sprotte needles to a single-centre acute neurology service: before and after study
OBJECTIVES To introduce atraumatic (Sprotte) lumbar puncture needles and compare complication rates with traumatic (Quincke) needles. DESIGN Complication rates associated with traumatic needle use were retrospectively analysed over a four-week period. Atraumatic needles were then implemented and a prospective analysis of the complication rates was undertaken for a further six weeks. SETTING...
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ورودعنوان ژورنال:
- Haematologica
دوره 92 7 شماره
صفحات -
تاریخ انتشار 2007