Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia
Background and objectives: : This study was conducted to investigate the effects of reinsertion of the stylet after a spinal anesthesia procedure on the Post Dural Puncture Headache (PDPH) Methods: We have enrolled into this study 630 patients who were undergoing elective operations with spinal anes...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-03-01
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| Series: | Brazilian Journal of Anesthesiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001413000365 |
| _version_ | 1811236327315734528 |
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| author | Nadir S. Sinikoglu Hacer Yeter Funda Gumus Enver Belli Aysin Alagol Nesrin Turan |
| author_facet | Nadir S. Sinikoglu Hacer Yeter Funda Gumus Enver Belli Aysin Alagol Nesrin Turan |
| author_sort | Nadir S. Sinikoglu |
| collection | DOAJ |
| description | Background and objectives: : This study was conducted to investigate the effects of reinsertion of the stylet after a spinal anesthesia procedure on the Post Dural Puncture Headache (PDPH) Methods: We have enrolled into this study 630 patients who were undergoing elective operations with spinal anesthesia and randomized them to Group A (stylet replacement before needle removal) and Group B (needle removal without stylet replacement). These patients were observed for the duration of 24 hours in the hospital and they were checked for PDPH on the 3rd and the 7th day of the study. Results: Overall, the PDPH incidence was at 10.8% (68 patients). Thirty-three of these patients (10.5%) who were in Group A (stylet replacement before needle removal) and the other 35 patients (11.1%) who were in Group B (needle removal without stylet replacement) experienced PDPH. There was no significant difference between the two groups with respect to the PDPH. Conclusions: In contrary to the diagnostic lumbar puncture, reinsertion of the stylet after spinal anesthesia with 25-gauge Quincke needles does not reduce the incidence of PDPH. Keywords: Anesthesia, Spinal, Post-Dural Puncture Headache. |
| first_indexed | 2024-04-12T12:06:55Z |
| format | Article |
| id | doaj.art-aacf413e7f134bbf9f2a5ef3cfb01cf6 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-12T12:06:55Z |
| publishDate | 2013-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-aacf413e7f134bbf9f2a5ef3cfb01cf62022-12-22T03:33:41ZengElsevierBrazilian Journal of Anesthesiology0104-00142013-03-01632188192Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal AnesthesiaNadir S. Sinikoglu0Hacer Yeter1Funda Gumus2Enver Belli3Aysin Alagol4Nesrin Turan5Department of Anaesthesiology and Intensive Care, Bagcilar Egitim ve Arastirma Hospital, Istanbul, Turkey; Corresponding author.Department of Anaesthesiology and Intensive Care, Bagcilar Egitim ve Arastirma Hospital, Istanbul, TurkeyDepartment of Anaesthesiology and Intensive Care, Bagcilar Egitim ve Arastirma Hospital, Istanbul, TurkeyDepartment of Anaesthesiology and Intensive Care, Bagcilar Egitim ve Arastirma Hospital, Istanbul, TurkeyDepartment of Anaesthesiology and Intensive Care, Bagcilar Egitim ve Arastirma Hospital, Istanbul, TurkeyDepartment of Biostatistics, Trakya University, Edirne, TurkeyBackground and objectives: : This study was conducted to investigate the effects of reinsertion of the stylet after a spinal anesthesia procedure on the Post Dural Puncture Headache (PDPH) Methods: We have enrolled into this study 630 patients who were undergoing elective operations with spinal anesthesia and randomized them to Group A (stylet replacement before needle removal) and Group B (needle removal without stylet replacement). These patients were observed for the duration of 24 hours in the hospital and they were checked for PDPH on the 3rd and the 7th day of the study. Results: Overall, the PDPH incidence was at 10.8% (68 patients). Thirty-three of these patients (10.5%) who were in Group A (stylet replacement before needle removal) and the other 35 patients (11.1%) who were in Group B (needle removal without stylet replacement) experienced PDPH. There was no significant difference between the two groups with respect to the PDPH. Conclusions: In contrary to the diagnostic lumbar puncture, reinsertion of the stylet after spinal anesthesia with 25-gauge Quincke needles does not reduce the incidence of PDPH. Keywords: Anesthesia, Spinal, Post-Dural Puncture Headache.http://www.sciencedirect.com/science/article/pii/S0104001413000365 |
| spellingShingle | Nadir S. Sinikoglu Hacer Yeter Funda Gumus Enver Belli Aysin Alagol Nesrin Turan Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia Brazilian Journal of Anesthesiology |
| title | Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia |
| title_full | Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia |
| title_fullStr | Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia |
| title_full_unstemmed | Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia |
| title_short | Reinsertion of the Stylet does not affect Incidence of Post Dural Puncture Headaches (PDPH) after Spinal Anesthesia |
| title_sort | reinsertion of the stylet does not affect incidence of post dural puncture headaches pdph after spinal anesthesia |
| url | http://www.sciencedirect.com/science/article/pii/S0104001413000365 |
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