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Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index

Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip... ORIGINAL RESEARCH SPINE Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index J.T. Philip, M.A. Flores, R.D. Beegle, S.C. Dodson, S.A. Messina, and J.V. Murray ABSTRACT BACKGROUND AND PURPOSE: Postdural puncture headache, a known complication of lumbar puncture, typically resolves with conservative management. Symptoms persist in a minority of patients, necessitating an epidural blood patch. One method of decreasing rates of postdural puncture headache is using atraumatic, pencil-point needles rather than bevel-tip needles. To the best of our knowledge, this is the first study comparing epidural blood patch rates between pencil- and bevel-tip needles with a subgroup analysis based on body mass index. MATERIALS AND METHODS: This single-institution retrospective study identified 4435 patients with a recorded body mass index who underwent a lumbar puncture with a 22-ga pencil-tip Whitacre needle, a 20-ga bevel-tip Quincke needle, or a 22-ga Quincke needle. The groups were stratified by body mass index. We compared epidural blood patch rates between 22-ga pencil-tip Whitacre needles versus 22-ga Quincke needles and 22-ga Quincke needles versus 20-ga bevel-tip Quincke needles using the Fischer exact test and x test. RESULTS: Postdural puncture headache necessitating an epidural blood patch was http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index

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Publisher
American Journal of Neuroradiology
Copyright
© 2022 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A7397
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL RESEARCH SPINE Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index J.T. Philip, M.A. Flores, R.D. Beegle, S.C. Dodson, S.A. Messina, and J.V. Murray ABSTRACT BACKGROUND AND PURPOSE: Postdural puncture headache, a known complication of lumbar puncture, typically resolves with conservative management. Symptoms persist in a minority of patients, necessitating an epidural blood patch. One method of decreasing rates of postdural puncture headache is using atraumatic, pencil-point needles rather than bevel-tip needles. To the best of our knowledge, this is the first study comparing epidural blood patch rates between pencil- and bevel-tip needles with a subgroup analysis based on body mass index. MATERIALS AND METHODS: This single-institution retrospective study identified 4435 patients with a recorded body mass index who underwent a lumbar puncture with a 22-ga pencil-tip Whitacre needle, a 20-ga bevel-tip Quincke needle, or a 22-ga Quincke needle. The groups were stratified by body mass index. We compared epidural blood patch rates between 22-ga pencil-tip Whitacre needles versus 22-ga Quincke needles and 22-ga Quincke needles versus 20-ga bevel-tip Quincke needles using the Fischer exact test and x test. RESULTS: Postdural puncture headache necessitating an epidural blood patch was

Journal

American Journal of Neuroradiology – American Journal of Neuroradiology

Published: Feb 1, 2022

References

  • Post-dural puncture headache: pathogenesis, prevention and treatment
    DK. Turnbull, DB. Shepherd
  • Diagnostic lumbar puncture
    CM. Doherty, RB. Forbes
  • Addendum to assessment: Prevention of post-lumbar puncture headaches [RETIRED]: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
  • Comparison of cutting and pencil-point spinal needle in spinal anesthesia regarding postdural puncture headache
    H. Xu, Y. Liu, W. Song
  • Effectiveness of epidural blood patch in the management of post-dural puncture headache.
    V. Safa-Tisseront, F. Thormann, P. Malassiné
  • Epidural blood patch in post dural puncture headache: a randomised, observer-blind, controlled clinical trial
    F. Van Kooten, R. Oedit, SL. Bakker
  • Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline
    B. Rochwerg, AS. Almenawer, RAC. Siemieniuk
  • Changing the needle for lumbar punctures
    TS. Engedal, H. Ørding, OJ. Vilholm
  • The use of the 25 Sprotte needle markedly reduces post-dural puncture headache in routine neurological practice
    A. Bertolotto, M. Malentacchi, M. Capobianco
  • Post-dural (post-lumbar) puncture headache: risk factors and clinical features
    JA. Amorim, MV. Gomes de Barros, MM. Valença
  • The effect of second-stage pushing and body mass index on postdural puncture headache
    AM. Franz, SY. Jia, HT. Bahnson
  • Blood Patch Rates After Lumbar Puncture with Whitacre Versus Quincke 22- and 20-Gauge Spinal Needles
    MK. Hatfield, SJ. Handrich, JA. Willis
  • Difficult lumbar puncture: pitfalls and tips from the trenches
    PA. Hudgins, AJ. Fountain, PR. Chapman
  • Lumbar puncture: it is time to change the needle.
    R. Lavi, JM. Rowe, I. Avivi