Format

Send to:

Choose Destination
See comment in PubMed Commons below
Braz J Anesthesiol. 2013 Mar-Apr;63(2):188-92. doi: 10.1016/S0034-7094(13)70213-7.

Reinsertion of the stylet does not affect incidence of post dural puncture headaches (PDPH) after spinal anesthesia.

Author information

  • 1Department of Anaesthesiology and Intensive Care, Bagcilar Egitim ve Arastirma Hospital, Istanbul, Turkey. sinikoglu@gmail.com

Abstract

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.

Copyright © 2013 Elsevier Editora Ltda. All rights reserved.

PMID:
23601259
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk