The effect of changing pressures on dural puncture and leak with various spinal needles on an in vitro model

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dc.contributor.authorApan, A.
dc.contributor.authorUz, A.
dc.contributor.authorUgur, H.C.
dc.contributor.authorTekdemir, I.
dc.date.accessioned2020-06-25T17:34:57Z
dc.date.available2020-06-25T17:34:57Z
dc.date.issued2002
dc.departmentKırıkkale Üniversitesi
dc.description.abstractPostdural puncture headache is one of the most serious complications of spinal anesthesia. In this study, spinal needles of various types and shapes were used to investigate the amount of fluid leakage in dural puncture under various pressures. Dura samples received from 10 cadavers were fixed in an in vitro model. The dural punctures were inflicted with 22 G, 25 G, and 27 G Quincke; 25 G Withacre; 25 G, 27 G Pencan, and 26 G Atraucan spinal needles. The fluid, which leaked during the process, was collected under the pressures of 0, 25, 50, 100, and 150cm H2O in a one-hour period for each level. The holes in the dura were studied under the light microscope. While 22 G and 25 G Quincke needles were used, the fluid leakage directly correlated with the amount of liquid, the diameter of the needle, and the pressure used. The puncture of 25 G Withacre and 25 G Pencan presented a leakage which did not significantly vary with the liquid pressure and was of lesser amount. In 26 G Atraucan, 27 G. Pencan, and 27 G Quincke inflicted punctures, little liquidwas collected and it did not vary with differing pressures. Thus, no significant correlation was established between the needle diameter and the puncture. It was concluded that the sharp-ended needles could not endure changes in the pressure. However, those needles with a very thin diameter and a pencil tip were considered as safe tools for anesthetic practice. (C) 2002 Elsevier Science Ltd. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1054/jocn.2002.1145
dc.identifier.endpage679en_US
dc.identifier.issn0967-5868
dc.identifier.issue6en_US
dc.identifier.pmid12604283
dc.identifier.scopus2-s2.0-0036851732
dc.identifier.scopusqualityQ1
dc.identifier.startpage677en_US
dc.identifier.urihttps://doi.org/10.1054/jocn.2002.1145
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2967
dc.identifier.volume9en_US
dc.identifier.wosWOS:000179516900016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherChurchill Livingstoneen_US
dc.relation.ispartofJournal Of Clinical Neuroscience
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectanesthetic techniquesen_US
dc.subjectspinal needlesen_US
dc.subjectcomplicationsen_US
dc.subjectdural punctureen_US
dc.titleThe effect of changing pressures on dural puncture and leak with various spinal needles on an in vitro modelen_US
dc.typeArticle

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