PMID- 25139108
OWN - NLM
STAT- MEDLINE
DCOM- 20150709
LR  - 20211021
IS  - 1590-3478 (Electronic)
IS  - 1590-1874 (Linking)
VI  - 35
IP  - 12
DP  - 2014 Dec
TI  - Are atraumatic spinal needles as efficient as traumatic needles for lumbar 
      puncture?
PG  - 1997-9
LID - 10.1007/s10072-014-1924-0 [doi]
AB  - The most frequent complication of lumbar puncture is post lumbar puncture 
      headache (PLPH). Recent studies confirmed that the use of atraumatic spinal 
      needles significantly reduces the risk of PLPH. However, the majority of 
      neurologists still use traumatic needles, possibly caused by misconceptions and 
      beliefs about practical performance of atraumatic spinal needles. Therefore, we 
      investigated the practical characteristics of atraumatic and traumatic spinal 
      needles. An experimental setup with a fluid column was used with (1) a 
      physiological NaCl 0.9 % solution and (2) a high protein content solution. Flow 
      rates and duration of pressure measurements were measured using a traumatic 
      needle and an atraumatic needle. The average flow rate differed less than 10 % 
      between the two needle types with NaCl solution, and for the high protein 
      solution the difference was even smaller. Time taken to perform accurate pressure 
      measurements did not differ between the two needle types using NaCl 0.9 %, and 
      was even slightly shorter for the atraumatic needle when using the high protein 
      solution. Average flow rates and duration of pressure measurements are comparable 
      between atraumatic spinal needles and traumatic needles. Therefore, these 
      performance characteristics are no reason to favor traumatic needles over 
      atraumatic needles.
FAU - Pelzer, N
AU  - Pelzer N
AD  - Department of Neurology, Leiden University Medical Center, Leiden, The 
      Netherlands.
FAU - Vandersteene, J
AU  - Vandersteene J
FAU - Bekooij, T J S
AU  - Bekooij TJ
FAU - Schoonman, G G
AU  - Schoonman GG
FAU - Wirtz, P W
AU  - Wirtz PW
FAU - Vanopdenbosch, L J
AU  - Vanopdenbosch LJ
FAU - Koppen, H
AU  - Koppen H
LA  - eng
PT  - Journal Article
DEP - 20140820
PL  - Italy
TA  - Neurol Sci
JT  - Neurological sciences : official journal of the Italian Neurological Society and 
      of the Italian Society of Clinical Neurophysiology
JID - 100959175
SB  - IM
MH  - Humans
MH  - *Needles
MH  - Post-Dural Puncture Headache/etiology
MH  - Spinal Puncture/*instrumentation
EDAT- 2014/08/21 06:00
MHDA- 2015/07/15 06:00
CRDT- 2014/08/21 06:00
PHST- 2014/05/06 00:00 [received]
PHST- 2014/08/06 00:00 [accepted]
PHST- 2014/08/21 06:00 [entrez]
PHST- 2014/08/21 06:00 [pubmed]
PHST- 2015/07/15 06:00 [medline]
AID - 10.1007/s10072-014-1924-0 [doi]
PST - ppublish
SO  - Neurol Sci. 2014 Dec;35(12):1997-9. doi: 10.1007/s10072-014-1924-0. Epub 2014 Aug 
      20.