post spinal puncture headache (psph) is a well known complication of spinal anesthesia. it occurs after spinal anesthesia induction due to dural and arachnoid puncture and has a significant effect on the patient’s postoperative well being. this manuscript is based on an observational study that runs on babol university of medical sciences and review of literatures about current concepts about t...

background the incidence of transient neurologic symptoms (tns) after spinal anesthesia with lidocaine is reported as high as 40%. objectives this prospective clinical trial was designed to determine the incidence of tns in patients who underwent spinal anesthesia with two different needles, in two different surgical positions. patients and methods the present randomized clinical trial was cond...

We introduce a 15 cm, 26-gauge spinal needle (Steriseal Ltd, Redditch) through a standard Tuohy needle (9·6 cm, 16-gauge) which has its tip in the epidural space. Once the dura has been punctured the spinal needle is only really held in place by the dura. It is therefore quite difficult to attach the syringe of local anaesthetic and then inject without inadvertently placing the tip of the spina...

OBJECTIVE To compare the frequency and severity of post dural puncture headache in obstetric patients using 25G Quincke, 27G Quincke and 27G Whitacre spinal needles. DESIGN Comparative, randomized, double-blind, interventional study. PLACE AND DURATION OF STUDY Liaquat University Hospital Hyderabad from October 2005 to December 2006. PATIENTS AND METHODS 480 ASA I-II full term pregnant wo...

The combined spinal-epidural technique has been used increasingly over the last decade. Combined spinal-epidural may achieve rapid onset, profound regional blockade with the facility to modify or prolong the block. A variety of techniques and devices have been proposed. The technique cannot be considered simply as an isolated spinal block followed by an isolated epidural block as combining the ...

BACKGROUND The reported incidence of transient neurological symptoms (TNS) after subarachnoid lidocaine administration is as high as 40%. We designed this clinical trial to determine the incidence of TNS with two different pencil-point spinal needles: one-orifice (Atraucan) and two-orifice (Eldor) spinal needles. METHODS Ninety-nine ASA physical status I or II patients undergoing surgical pro...

Postdural puncture headache (PDPH) is a significant complication of spinal anesthesia. There is considerable variability in the incidence of PDPH, which is affected by a number of factors including age, gender, pregnancy, and needle type and size. We present a case where a patient had PDPH after a spinal block with a deformed spinal needle due to calcified interspinous ligaments. We suggest, in...

BACKGROUND The patient's position during spinal anesthesia administration plays a major role in the success of spinal needle insertion into the subarachnoid space. The traditional sitting position (TSP) is the standard position for spinal anesthesia administration, but the success rate for spinal anesthesia administration in the TSP is still quite low. The crossed-leg sitting position (CLSP) is...