Why should we use atraumatic needles in lumbar puncture?

Diagnostic lumbar puncture is essential to the diagnosis of central nervous system infections, subarachnoid haemorrhage and others neurological diseases. Myeloradicular involvement or life-threatening adverse events due to the procedure are rare, but less severe complications are more frequent. Post...

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Detalles Bibliográficos
Autor: Matas, Sandro Luiz De Andrade
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/7944
Acceso en línea:http://dx.doi.org/10.1590/0004-282X20130150
http://repositorio.unifesp.br/handle/11600/7944
Access Level:acceso abierto
Palabra clave:lumbar puncture
complication
headache
meningitis
atraumatic needles
puncao lombar
complicacao
cefaleia
meningite
agulhas atraumaticas
Descripción
Sumario:Diagnostic lumbar puncture is essential to the diagnosis of central nervous system infections, subarachnoid haemorrhage and others neurological diseases. Myeloradicular involvement or life-threatening adverse events due to the procedure are rare, but less severe complications are more frequent. Post-lumbar puncture headache is the most common complication, by spinal fluid leakage due to delayed closure of a dural defect. Therefore, the development of fine needles, with differentiated atraumatic bevel, has contributed to minimize that problem. These generically called atraumatic needles cause less deformation of the dura mater then the Quincke® ones. So, why don't we use these atraumatic needles?