title: Does Atraucan cause more postdural puncture backache?
abstract: OBJECTIVE
  Postdural puncture backache (PDPB) is the most frequent complaint after spinal anesthesia. In the literature its importance is generally overshadowed by postdural puncture headache. We studied two different kinds of spinal anesthesia needles to compare their technical handling capacities and incidences of PDPB.
  
  
  METHODS
  Data of 256 pregnant female patients undergoing cesarean delivery under spinal anesthesia were collected for the study. Patients were divided into two groups as Group A (n = 109) and Group Q (n = 147) according to the spinal needle used for spinal anesthesia (i.e. 26-gauge atraumatic and 26-gauge Quincke needles, respectively). Backache incidences during a 1-week period postoperatively and handling characteristics of the needles were noted.
  
  
  RESULTS
  Spinal anesthesia was successfully performed at one attempt in 92.7% and 86.4% of patients in Groups A and Q, respectively. PDPB was encountered in 62.4% and 44.2% of patients in Groups A and Q, respectively, and the difference was statistically significant (P = 0.037).
  
  
  CONCLUSIONS
  Both 26-gauge Atraucan and Quincke needles have excellent handling characteristics. PDPB seems to be less common with the 26-gauge Quincke needle than with the Atraucan needle.
authors.forename: Ruslan
authors.initials: R
authors.lastname: Abdullayev
authors.forename: Omer Burak
authors.initials: OB
authors.lastname: Küçükebe
authors.forename: Bülent
authors.initials: B
authors.lastname: Çelik
authors.forename: Nihal
authors.initials: N
authors.lastname: Kirman
authors.forename: Hamit Sinan
authors.initials: HS
authors.lastname: Hatipoğlu
authors.forename: Filiz
authors.initials: F
authors.lastname: Akaltun Hatipoğlu
mesh_terms: D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D001416:Back Pain / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D002585:Cesarean Section / Q000379:methods*; D057186:Comparative Effectiveness Research; D005260:Female; D006801:Humans; D015994:Incidence; D009339:Needles / Q000009:adverse effects / Q000592:standards; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D011247:Pregnancy; D012720:Severity of Illness Index