The effects of needle deformation during lumbar puncture

Basit Öğe Kaydı
dc.contributor.authorOzdemir, Hasan Huseyin
dc.contributor.authorDemir, Caner F.
dc.contributor.authorVarol, Sefer
dc.contributor.authorArslan, Demet
dc.contributor.authorYildiz, Mustafa
dc.contributor.authorAkil, Esref
dc.date.accessioned2024-04-24T17:24:13Z
dc.date.available2024-04-24T17:24:13Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The aim of this study is to assess deformation of the tip and deflection from the axis of 22-gauge Quincke needles when they are used for diagnostic lumbar puncture (LP). Thus, it can be determined whether constructional alterations of needles are important for predicting clinical problems after diagnostic LP. Materials and Methods: The 22-gauge Quincke needles used for diagnostic LP were evaluated. A specially designed protractor was used for measurement and evaluation. Waist circumference was measured in each patient. Patients were questioned about headaches occurring after LP. Results: A total of 115 Quincke-type spinal needles used in 113 patients were evaluated. No deflection was detected in 38 (33.1%) of the needles. Deflection between 0.1 degrees and 5 degrees occurred in 43 (37.3%) of the needles and deflection >= 5.1 degrees occurred in 34 patients (29.6%). Forty-seven (41.5%) patients experienced post lumbar puncture headache (PLPH) and 13 (11.5%) patients experienced intracranial hypotension (IH). No statistically significant correlation between the degree of deflection and headache was found (P > 0.05). Epidural blood patch was performed for three patients. Deformity in the form of bending like a hook occurred in seven needles and IH occurred in six patients using these needles. Two of the needles used in three patients requiring blood patch were found to be bent. Conclusion: Deformation of needles may increase complications after LP. Needle deformation may lead to IH. In case of deterioration in the structure of the needle, termination of the puncture procedure and the use of a new needle could reduce undesirable clinical consequences, especially IH.en_US
dc.description.sponsorshipDicle University DUBAPen_US
dc.description.sponsorshipWe are grateful to Dicle University DUBAP for their sponsorship about English editing of this manuscript.en_US
dc.identifier.doi10.4103/0976-3147.153227
dc.identifier.endpage201en_US
dc.identifier.issn0976-3147
dc.identifier.issn0976-3155
dc.identifier.issue2en_US
dc.identifier.pmid25883480
dc.identifier.scopus2-s2.0-84925768955
dc.identifier.scopusqualityQ3
dc.identifier.startpage198en_US
dc.identifier.urihttps://doi.org/10.4103/0976-3147.153227
dc.identifier.urihttps://hdl.handle.net/11468/19535
dc.identifier.volume6en_US
dc.identifier.wosWOS:000218656000017
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofJournal of Neurosciences in Rural Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHeadacheen_US
dc.subjectIntracranial Hypotensionen_US
dc.subjectLumbar Punctureen_US
dc.subjectNeedle Deflectionen_US
dc.titleThe effects of needle deformation during lumbar punctureen_US
dc.titleThe effects of needle deformation during lumbar puncture
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu