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Is the pencil point spinal needle a better choice in younger patients? A comparison of 24G Sprotte with 27 G Quincke needles in an unselected group of general surgical patients below 46 years of age
Author(s) -
Brattebø G.,
Wisborg T.,
Rodt S. Å.,
Røste I.
Publication year - 1995
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1995.tb04114.x
Subject(s) - medicine , spinal anesthesia , surgery , significant difference , incidence (geometry) , anesthesia , pencil (optics) , mechanical engineering , engineering , physics , optics
Reports have indicated that there are less postoperative complaints after the use of pencil pointed spinal needles. We compared a 24G Sprotte needle with a 27G Quincke needle in a randomised study of 200 healthy patients (49% females), aged 15–46 years. Four patients (2%) reported postdural puncture heActache, three with the 24G Sprotte needle and one with the 27G Quincke needle. Thirteen patients (7%) suffered with nonspecific heActache, with no significant difference betwen the two groups. Of the 57 (29%) who reported backpain, a significantly higher proportion had received spinal anaesthesia with the Sprotte needle (OR=2.06). There was a significantly higher incidence of insufficient blocks after dural puncture with the Sprotte needle. Ease of needle insertion and number of puncture attempts was the same for both needle types.