• Neurologist · Jan 2009

    Review

    Atraumatic lumbar puncture needles: after all these years, are we still missing the point?

    • Katherine Arendt, Bart M Demaerschalk, Dean M Wingerchuk, and William Camann.
    • Instructor in Anesthesia, Mayo Foundation Scholar, Mayo Clinic, Rochester, MN, USA.
    • Neurologist. 2009 Jan 1;15(1):17-20.

    BackgroundCutting needles remain the most commonly used needle design for lumbar puncture in the neurology community, although atraumatic (noncutting) needles have become common and popular for anesthesiologists performing spinal anesthesia.Review SummaryThe use of atraumatic spinal needles for lumbar puncture has been shown to significantly reduce the incidence of postdural puncture headache compared with cutting needles, without loss of efficacy or ease of use.ConclusionThe use of noncutting or pencil-point spinal needles should become the standard for performing diagnostic lumbar puncture.

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