THE EFFECT OF NEEDLE DIAMETER AND ANESTHETIST EXPERIENCE IN INCIDENCE OF POST DURAL PUNCTURE HEADACHE

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MOAFEGH A.; VOUSOOGHIAN L.; ADLEE A.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2002 | Volume:22 | Issue:39 Page(s): 39-44

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Title

THE EFFECT OF NEEDLE DIAMETER AND ANESTHETIST EXPERIENCE IN INCIDENCE OF POST DURAL PUNCTURE HEADACHE

Author(s)

MOAFEGH A. | VOUSOOGHIAN L. | ADLEE A. | Issue Writer Certificate

Keywords

POST DURAL PUNCTURE HEADACHEQ4

SPINAL ANESTHESIAQ4

Abstract

POST DURAL PUNCTURE HEADACHE (PDPH) is a known and discomfortable complication of SPINAL ANESTHESIA. Previous studies have shown that the incidence of PDPH increases with the thickness of the spinal needle and the number of punctures in the dura matter. Recently, in order to decrease PDPH, thinner needles have been used to perform SPINAL ANESTHESIA. However, the use of thinner needles reqiures expertise, and teaching such skills to residents of the university hospital is a difficult task; a task, which at the end increases the number of dura punctures and consequently the incidence of PDPH.For assessing these probabilities, an antrospective, randomized study with 400 patients (ages 18 to 45) who were in ASA physical status classes 1 and 2 was done. Four groups, each with 100 patients, were selected and underwent SPINAL ANESTHESIA with 23 and 25-gauge needles conducted by first, second and third year residents of anesthesiology and anesthesiologists. Patients were assessed after 48 hours.The results of this study illustrates that the incidence of repeated attempts (and dural punctures) is higher in residents of anesthesiology and using thinner needles when compared to the number of attempts (and punctures) demonstrated by anesthesiologists and using thicker needles.Anesthesiologists conducted fewer repeated attempts and subsequently had fewer PDPH patients. The incidence of PDPH after using 23 and 25 - gauge needles was not different.Therefore, a novice will attempt more dural punctures with thinner needles. Hence, the repeated attempts with a 25-gauge needle will result in the same number of PDPH incidence when compared to the use of a thicker needle fo a single puncture.In conclusion, the use of 23-gauge needles for SPINAL ANESTHESIA should be restricted to the teaching of the anesthesiology residents.

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APA: Copy

MOAFEGH, A., VOUSOOGHIAN, L., & ADLEE, A.. (2002). THE EFFECT OF NEEDLE DIAMETER AND ANESTHETIST EXPERIENCE IN INCIDENCE OF POST DURAL PUNCTURE HEADACHE. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 22(39), 39-44. SID. https://sid.ir/paper/63388/en

Vancouver: Copy

MOAFEGH A., VOUSOOGHIAN L., ADLEE A.. THE EFFECT OF NEEDLE DIAMETER AND ANESTHETIST EXPERIENCE IN INCIDENCE OF POST DURAL PUNCTURE HEADACHE. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2002;22(39):39-44. Available from: https://sid.ir/paper/63388/en

IEEE: Copy

A. MOAFEGH, L. VOUSOOGHIAN, and A. ADLEE, “THE EFFECT OF NEEDLE DIAMETER AND ANESTHETIST EXPERIENCE IN INCIDENCE OF POST DURAL PUNCTURE HEADACHE,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 22, no. 39, pp. 39–44, 2002, [Online]. Available: https://sid.ir/paper/63388/en

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