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Deformed spinal needle causing PDPH and dry tap due to blood clot

Postdural puncture headache (PDPH) is a significant complication of spinal anesthesia. There is considerable variability in the incidence of PDPH, which is affected by a number of factors including age, gender, pregnancy, and needle type and size. We present a case where a patient had PDPH after a s...

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Detalles Bibliográficos
Autores principales: Garg, Rakesh, Kumar, Ashwani, Pandey, Ravindra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417944/
https://www.ncbi.nlm.nih.gov/pubmed/22915865
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author Garg, Rakesh
Kumar, Ashwani
Pandey, Ravindra
author_facet Garg, Rakesh
Kumar, Ashwani
Pandey, Ravindra
author_sort Garg, Rakesh
collection PubMed
description Postdural puncture headache (PDPH) is a significant complication of spinal anesthesia. There is considerable variability in the incidence of PDPH, which is affected by a number of factors including age, gender, pregnancy, and needle type and size. We present a case where a patient had PDPH after a spinal block with a deformed spinal needle due to calcified interspinous ligaments. We suggest, in the elderly patient with possible ligament calcification, an introducer needle should be used to achieve the spinal block and if there are multiple attempts then the needle should be checked for damage in between. Also, change in the resistance from previous tries or a gritting sensation during needle insertion should be taken seriously and the needle checked before further attempts are made.
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spelling pubmed-34179442012-08-22 Deformed spinal needle causing PDPH and dry tap due to blood clot Garg, Rakesh Kumar, Ashwani Pandey, Ravindra Local Reg Anesth Case Report Postdural puncture headache (PDPH) is a significant complication of spinal anesthesia. There is considerable variability in the incidence of PDPH, which is affected by a number of factors including age, gender, pregnancy, and needle type and size. We present a case where a patient had PDPH after a spinal block with a deformed spinal needle due to calcified interspinous ligaments. We suggest, in the elderly patient with possible ligament calcification, an introducer needle should be used to achieve the spinal block and if there are multiple attempts then the needle should be checked for damage in between. Also, change in the resistance from previous tries or a gritting sensation during needle insertion should be taken seriously and the needle checked before further attempts are made. Dove Medical Press 2010-06-15 /pmc/articles/PMC3417944/ /pubmed/22915865 Text en © 2010 Garg et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Case Report
Garg, Rakesh
Kumar, Ashwani
Pandey, Ravindra
Deformed spinal needle causing PDPH and dry tap due to blood clot
title Deformed spinal needle causing PDPH and dry tap due to blood clot
title_full Deformed spinal needle causing PDPH and dry tap due to blood clot
title_fullStr Deformed spinal needle causing PDPH and dry tap due to blood clot
title_full_unstemmed Deformed spinal needle causing PDPH and dry tap due to blood clot
title_short Deformed spinal needle causing PDPH and dry tap due to blood clot
title_sort deformed spinal needle causing pdph and dry tap due to blood clot
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417944/
https://www.ncbi.nlm.nih.gov/pubmed/22915865
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