title: Is there a difference in postdural puncture headache after continuous spinal anesthesia with 28G microcatheters compared with punctures with 22G Quincke or Sprotte spinal needles?
abstract: In this retrospective study, the question was raised and answered whether the rate of postdural puncture headache (PDPH) after continuous spinal anesthesia with a 28G microcatheter varies using a Quincke or a Sprotte needle. The medical records of all patients with allogenic joint replacement of the knee or hip or arthroscopic surgery of the knee joint undergoing continuous spinal anesthesia with a 22G Quincke (n=1,212) or 22G Sprotte needle (n=377) and a 28G microcatheter during the past 6 years were reviewed. We obtained the approval of the ethical committee. The rates of PDPH were statistically not different between both groups: 1.5% of patients developed PDPH after dura puncture with a Quincke needle and 2.1% with a Sprotte needle in women and men.
authors.affiliation: Fakultät für Gesundheit der Universität, Witten-Herdecke, Germany.
authors.forename: Eberhard Albert
authors.initials: EA
authors.lastname: Lux
authors.affiliation: Fakultät für Gesundheit der Universität, Witten-Herdecke, Germany.
authors.forename: Astrid
authors.initials: A
authors.lastname: Althaus
keywords: Quincke needle; Sprotte needle; continuous spinal anesthesia; postdural puncture headache (PDPH)