Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia
Abstract Background Performing spinal anaesthesia using the conventional popping method with a 27-gauge (27G) spinal needle is technically difficult. In this study, we compared the aspiration and conventional popping method for spinal anaesthesia using 27G Quincke-type needles. Methods This prospect...
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| Format: | Article |
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BMC
2020-01-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-020-0954-9 |
| _version_ | 1819169042930335744 |
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| author | J. U. Han B. G. Kim C. Yang W. H. Choi J. Jeong K. J. Lee H. Kim |
| author_facet | J. U. Han B. G. Kim C. Yang W. H. Choi J. Jeong K. J. Lee H. Kim |
| author_sort | J. U. Han |
| collection | DOAJ |
| description | Abstract Background Performing spinal anaesthesia using the conventional popping method with a 27-gauge (27G) spinal needle is technically difficult. In this study, we compared the aspiration and conventional popping method for spinal anaesthesia using 27G Quincke-type needles. Methods This prospective, randomized study enrolled 90 patients, aged 19 to 65 years, with American Society of Anesthesiologists physical status I-III, who were undergoing spinal anaesthesia. Patients were randomly assigned to one of two groups using a computer-generated random number table: patients receiving spinal anaesthesia using the aspiration method, in which the needle is advanced with continuous aspiration, or the conventional popping method. The primary outcome measure was the success rate of the first attempt to perform dural puncture. Number of attempts and passages, withdrawal cases, successful attempt time, total procedure time, and actual depth of dural puncture were recorded. Results Eighty-eight patients were included in the study. In the aspiration group, the success rate of first attempt for dural puncture was 93.3%, compared with 72.1% in the popping group (P = 0.019). Success involving needle withdrawal was recorded in 4 (8.9%) patients in the aspiration group and 13 (30.2%) in the popping group (P = 0.024). In the popping group, the number of attempts was significantly higher (P = 0.044), and total procedure time was significantly longer (P = 0.023). Actual depths of dural puncture were deeper in the popping group than in the aspiration group (P = 0.019). Conclusions The aspiration method using a 27G Quincke-type needle offers clinical benefits for dural puncture compared with the conventional popping method for spinal anaesthesia. Trial registration Clinical research information service number: KCT0002815 , registered 21/Apr/2018. Retrospectively registered. |
| first_indexed | 2024-12-22T19:13:13Z |
| format | Article |
| id | doaj.art-c2d788121e5a4473b512116dbda84067 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-22T19:13:13Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-c2d788121e5a4473b512116dbda840672022-12-21T18:15:36ZengBMCBMC Anesthesiology1471-22532020-01-012011810.1186/s12871-020-0954-9Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesiaJ. U. Han0B. G. Kim1C. Yang2W. H. Choi3J. Jeong4K. J. Lee5H. Kim6Department of Anesthesiology and Pain Medicine, Inha University College of MedicineDepartment of Anesthesiology and Pain Medicine, Inha University College of MedicineDepartment of Anesthesiology and Pain Medicine, Inha University College of MedicineDepartment of Anesthesiology and Pain Medicine, Inha University College of MedicineDepartment of Anesthesiology and Pain Medicine, Inha University College of MedicineDepartment of Anesthesiology and Pain Medicine, Inha University College of MedicineDepartment of Anesthesiology and Pain Medicine, Inha University College of MedicineAbstract Background Performing spinal anaesthesia using the conventional popping method with a 27-gauge (27G) spinal needle is technically difficult. In this study, we compared the aspiration and conventional popping method for spinal anaesthesia using 27G Quincke-type needles. Methods This prospective, randomized study enrolled 90 patients, aged 19 to 65 years, with American Society of Anesthesiologists physical status I-III, who were undergoing spinal anaesthesia. Patients were randomly assigned to one of two groups using a computer-generated random number table: patients receiving spinal anaesthesia using the aspiration method, in which the needle is advanced with continuous aspiration, or the conventional popping method. The primary outcome measure was the success rate of the first attempt to perform dural puncture. Number of attempts and passages, withdrawal cases, successful attempt time, total procedure time, and actual depth of dural puncture were recorded. Results Eighty-eight patients were included in the study. In the aspiration group, the success rate of first attempt for dural puncture was 93.3%, compared with 72.1% in the popping group (P = 0.019). Success involving needle withdrawal was recorded in 4 (8.9%) patients in the aspiration group and 13 (30.2%) in the popping group (P = 0.024). In the popping group, the number of attempts was significantly higher (P = 0.044), and total procedure time was significantly longer (P = 0.023). Actual depths of dural puncture were deeper in the popping group than in the aspiration group (P = 0.019). Conclusions The aspiration method using a 27G Quincke-type needle offers clinical benefits for dural puncture compared with the conventional popping method for spinal anaesthesia. Trial registration Clinical research information service number: KCT0002815 , registered 21/Apr/2018. Retrospectively registered.https://doi.org/10.1186/s12871-020-0954-9AspirationCerebrospinal fluidLumbar punctureSpinal anaesthesia |
| spellingShingle | J. U. Han B. G. Kim C. Yang W. H. Choi J. Jeong K. J. Lee H. Kim Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia BMC Anesthesiology Aspiration Cerebrospinal fluid Lumbar puncture Spinal anaesthesia |
| title | Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia |
| title_full | Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia |
| title_fullStr | Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia |
| title_full_unstemmed | Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia |
| title_short | Prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27-gauge spinal needles in patients undergoing spinal anaesthesia |
| title_sort | prospective randomized comparison of cerebrospinal fluid aspiration and conventional popping methods using 27 gauge spinal needles in patients undergoing spinal anaesthesia |
| topic | Aspiration Cerebrospinal fluid Lumbar puncture Spinal anaesthesia |
| url | https://doi.org/10.1186/s12871-020-0954-9 |
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