• Anaesthesia · Oct 1997

    Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial

    A comparative multicentre trial of spinal needles for caesarean section.

    • J M Hopkinson, A K Samaan, I F Russell, R J Birks, and M R Patrick.
    • Hope Hospital, Salford, UK.
    • Anaesthesia. 1997 Oct 1;52(10):1005-11.

    AbstractWe studied 681 patients in a randomised, multicentre, double-blind, parallel group trial designed to assess the incidence of headache following spinal anaesthesia for Caesarean section using four different pencil point spinal needles. The needles used were: Whitacre 25G (n = 170), Polymedic 25G (n = 170), Sprotte 24G (n = 173) and Polymedic 24G (n = 168). The incidence of all headaches prior to discharge was 11.1%. Only five headaches (0.75%) were severe with features of post dural puncture headache (PDPH) and required an epidural blood patch: Whitacre 25G = 0, Polymedic 25G = 1 (0.6%), Sprotte 24G = 2 (1.2%), Polymedic 24G = 2 (1.2%). There was no statistically significant difference between the four groups for PDPH. We conclude that all four needles studied performed satisfactorily and comparably.

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