A comparative multicentre trial of spinal needles for Caesarean section

We studied 681 patients in a randomised, multicentre, double‐blind, parallel group trial designed to assess the incidence of headache following spinal anaesthesia for Caesarean section using four different pencil point spinal needles. The needles used were: Whitacre 25G (n = 170), Polymedic 25G (n =...

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Bibliographic Details
Published in:Anaesthesia 1997-10, Vol.52 (10), p.1005-1011
Main Authors: Hopkinson, J. M., Samaan, A. K., Russell, I. F., Birks, R. J. S., Patrick, M. R.
Format: Article
Language:English
Subjects:
Abdominal surgery. Urology. Gynecology. Obstetrics
Adult
Anaesthesia, obstetrics
Caesarean section
Anaesthetic techniques, regional
spinal
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Obstetrical - adverse effects
Anesthesia, Obstetrical - instrumentation
Anesthesia, Spinal - adverse effects
Anesthesia, Spinal - instrumentation
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cesarean Section
Complications
postdural puncture headache (PDPH)
Double-Blind Method
Dura Mater - injuries
Equipment
spinal needles
Female
Headache - etiology
Humans
Medical sciences
Needles
Pregnancy
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Summary:We studied 681 patients in a randomised, multicentre, double‐blind, parallel group trial designed to assess the incidence of headache following spinal anaesthesia for Caesarean section using four different pencil point spinal needles. The needles used were: Whitacre 25G (n = 170), Polymedic 25G (n = 170), Sprotte 24G (n = 173) and Polymedic 24G (n = 168). The incidence of all headaches prior to discharge was 11.1%. Only five headaches (0.75%) were severe with features of post dural puncture headache (PDPH) and required an epidural blood patch: Whitacre 25G = 0, Polymedic 25G = 1 (0.6%), Sprotte 24G = 2 (1.2%), Polymedic 24G = 2 (1.2%). There was no statistically significant difference between the four groups for PDPH. We conclude that all four needles studied performed satisfactorily and comparably.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1997.191-az0324.x