Why should we use atraumatic needles in lumbar puncture?

نویسنده

  • Sandro Luiz de Andrade Matas
چکیده

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 closure of a dural defect. Therefore, the development of fine needles, with differentiated atraumatic bevel, has contributed to minimize that problem. These generically called atraumatic needles cause less deformation of the dura mater then the Quincke(®) ones. So, why don't we use these atraumatic needles?

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منابع مشابه

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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Introduction 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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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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Addendum to assessment: prevention of post-lumbar puncture headaches: report of the TTAS of the AAN.

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...

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عنوان ژورنال:
  • Arquivos de neuro-psiquiatria

دوره 71 9B  شماره 

صفحات  -

تاریخ انتشار 2013