• Acta Anaesthesiol Scand · May 1995

    Randomized Controlled Trial Comparative Study Clinical Trial

    Is the pencil point spinal needle a better choice in younger patients? A comparison of 24G Sprotte with 27G Quincke needles in an unselected group of general surgical patients below 46 years of age.

    • G Brattebø, T Wisborg, S A Rodt, and I Røste.
    • Department of Anaesthesia and Intensive Care, Hammerfest Hospital, Norway.
    • Acta Anaesthesiol Scand. 1995 May 1; 39 (4): 535-8.

    AbstractReports have indicated that there are less postoperative complaints after the use of pencil pointed spinal needles. We compared a 24G Sprotte needle with a 27G Quincke needle in a randomised study of 200 healthy patients (49% females), aged 15-46 years. Four patients (2%) reported postdural puncture headache, three with the 24G Sprotte needle and one with the 27G Quincke needle. Thirteen patients (7%) suffered with nonspecific headache, with no significant difference between the two groups. Of the 57 (29%) who reported backpain, a significantly higher proportion had received spinal anaesthesia with the Sprotte needle (OR = 2.06). There was a significantly higher incidence of insufficient blocks after dural puncture with the Sprotte needle. Ease of needle insertion and number of puncture attempts was the same for both needle types.

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