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Is there a difference in postdural puncture headache after continuous spinal anesthesia with 28G microcatheters compared with punctures with 22G Quincke or Sprotte spinal needles?

Authors Lux E, Althaus A

Received 4 June 2014

Accepted for publication 8 September 2014

Published 10 November 2014 Volume 2014:7 Pages 63—67


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Stefan Wirz

Eberhard Albert Lux, Astrid Althaus

Fakultät für Gesundheit der Universität, Witten-Herdecke, Germany

Abstract: In this retrospective study, the question was raised and answered whether the rate of postdural puncture headache (PDPH) after continuous spinal anesthesia with a 28G microcatheter varies using a Quincke or a Sprotte needle. The medical records of all patients with allogenic joint replacement of the knee or hip or arthroscopic surgery of the knee joint undergoing continuous spinal anesthesia with a 22G Quincke (n=1,212) or 22G Sprotte needle (n=377) and a 28G microcatheter during the past 6 years were reviewed. We obtained the approval of the ethical committee. The rates of PDPH were statistically not different between both groups: 1.5% of patients developed PDPH after dura puncture with a Quincke needle and 2.1% with a Sprotte needle in women and men.

Keywords: continuous spinal anesthesia, postdural puncture headache (PDPH), Sprotte needle, Quincke needle

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