Author(s): Hopkinson JM, Samaan AK, Russell IF, Birks RJ, Patrick MR
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Abstract 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.
This article was published in Anaesthesia
and referenced in Journal of Anesthesia & Clinical Research