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October 1, 1998Anaesthesia

Safety of fine‐gauge, pencil point spinal needles

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Why the study?

Does the needle-through-needle CSE method reduce the incidence of paraesthesia and neural damage compared to the double-barrel method in patients receiving spinal anaesthesia?

Population

Obstetric and gynaecological patients receiving combined spinal epidural (CSE) anaesthesia (audit of n=1000)

Comparison

Needle-through-needle combined spinal epidural… vs 'Double-barrel' method

Design

Editorial

Authors

JCJohn A. CrowhurstAustralian Society of AnaesthetistsFPF. PlaatRoyal College of Obstetricians and Gynaecologists

Discussion

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Member takes

Overview

Supports safety of needle-through-needle CSE; leaves open whether it reduces paraesthesia versus double-barrel technique.

Structured PICO

Does the needle-through-needle CSE method reduce the incidence of paraesthesia and neural damage compared to the double-barrel method in patients receiving spinal anaesthesia?

P
Population
Obstetric and gynaecological patients receiving combined spinal epidural (CSE) anaesthesia (audit of n=1000)
I
Intervention
Needle-through-needle combined spinal epidural (CSE) method using fine-gauge pencil point spinal needles (e.g., 27G Whitacre)
C
Comparator
'Double-barrel' method (needle-through-tissues technique)
O
Outcome
Incidence of paraesthesia and neural damage (dysaesthesia)safety

The needle-through-needle CSE technique appears safe with a low incidence of paraesthesia and neural damage, challenging claims that fine-gauge pencil point needles are inherently unsafe.

Cite This Study

Crowhurst et al. (1998) studied this question.

synapsesocial.com/papers/6a73201da177409e79a0ba1ehttps://doi.org/10.1046/j.1365-2044.1998.0669d.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epidural and subarachnoid analgesia for elective Caesarean section1981 · 98 citations
  2. 2Combined Spinal-Epidural Anesthesia Using the CSEN1992 · 19 citations
  3. 3A comparative multicentre trial of spinal needles for Caesarean section1997 · 55 citations
  4. 4Combined spinal-epidural technique1997 · 104 citations
  5. 5Unexplained neurologic deficit after uneventful combined spinal and epidural anesthesia for cesarean delivery1997 · 19 citations