Traumatic vs. atraumatic 22 G needle for therapeutic and diagnostic lumbar puncture in the hematologic patient: a prospective clinical trial.
We investigated the impact of needle type on post lumbar puncture headache (PLPH) in hematologic patients undergoing LP. We prospectively compared traumatic (TN) vs. atraumatic 22G needles. Twenty-seven patients underwent 48 LPs, 22 with chemotherapy injection. PLPH occurred almost exclusively with TN (4% vs. 30% p=0.02), irrespective of chemotherapy injection.
Lavi
Ronit
R
Department of Anesthesiology, Rambam Medical Center, and Rappaport Faculty of Medicine Technion-Israel Institute of Technology, Haifa, Israel. avironit@hotmail.com
Rowe
J M
JM
Avivi
I
I
D000328:Adult; D000368:Aged; D005260:Female; D006261:Headache / Q000209:etiology*; D006402:Hematologic Diseases / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles / Q000009:adverse effects*; D013129:Spinal Puncture / Q000009:adverse effects*