[The relief of postspinal headache using the Whitacre cannula. A clinical study].
In a prospective study spinal anesthesia was performed in 500 patients (338 male and 162 female patients between 16 and 91 years of age: mean 46 years), with a total number of 603 spinal anesthetics. In all cases a 22G Whitacre needle was used. All patients were mobilized from the day of the operation onward and visited 4 days later by the interviewer and asked about any symptoms, especially headache. Mild postspinal headache occurred in 11 cases (1.8% of total), all in patients younger than 50 years of age and more in women. There were 6 patients among the 11 who did not need specific therapy their headache; for the others antipyretic analgesics, adequate hydration and/or bedrest were satisfactory. The study shows that the incidence of postspinal headache was significantly reduced by the use of Whitacre's pencil-point needle in comparison with findings reported in the literature.
Institut für Anaesthesiologie der Städtischen Kliniken Osnabrück.
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Kreuscher
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Sandmann
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D005260:Female; D006261:Headache / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles; D011446:Prospective Studies; D013129:Spinal Puncture / Q000009:adverse effects* / Q000295:instrumentation
Die Minderung des postspinalen Kopfschmerzes durch Verwendung der Whitacre-Kanüle. Klinische Studie.