Comparison of the 25-gauge Whitacre with the 24-gauge Sprotte spinal needle for elective caesarean section: cost implications
| Autor: | M. J. Douglas, David Campbell, T. J. G. Pavy, Pamela M. Merrick, Mary Louise Flanagan, Graham H. McMorland |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Anesthesia Spinal Spinal Puncture Spinal needles Double-Blind Method Pregnancy Medicine Anesthesia Obstetrical Humans Caesarean section Prospective Studies Prospective cohort study Cost implications business.industry Cesarean Section Incidence Headache Nerve Block General Medicine Equipment Design Bupivacaine Surgery Anesthesiology and Pain Medicine Elective Surgical Procedures Needles Anesthesia Nerve block Costs and Cost Analysis Female Sprotte spinal needle Dura Mater Elective caesarean section Hypotension business Elective Surgical Procedure Follow-Up Studies |
| Zdroj: | Canadian journal of anaesthesia = Journal canadien d'anesthesie. 40(12) |
| ISSN: | 0832-610X |
| Popis: | Spinal anaesthesia provides rapid, safe anaesthesia for Caesarean section. The pencil-point spinal needles (Sprotte and Whitacre) are reported to have a low incidence of post-dural puncture headache (PDPH). As the 25G Whitacre is less expensive than the 24G Sprotte needle, this prospective, randomized, double-blind study was designed to compare the incidence of PDPH and ease of insertion of these needles in 304 ASA 1 and 2 women having elective Caesarean section under spinal anaesthesia. Each patient was assessed daily for five consecutive days following Caesarean section by an investigator blinded to the needle used. The results indicate that the two needles have a similar ease of insertion, number of failed insertions, and failed subarachnoid blockade. An inability to insert the spinal needles occurred in two patients in each group. Therefore, 150 patients in each group completed the study. The incidence of PDPH with the 24G Sprotte needle was 4.0% (6/150) compared with 0.66% (1/150) with the 25G Whitacre (NS). There was no correlation between the occurrence of PDPH and the difficulty of needle insertion, presence of transient hypotension or the effectiveness of anaesthesia delivered. This study indicates that both needles are comparable with respect to ease of insertion and incidence of PDPH. As the Whitacre needle is less expensive it is a reasonable alternative to the more expensive Sprotte needle. |
| Databáze: | OpenAIRE |
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