DONT TURN THE NEEDLE

被引：19

作者：

DUFFY, BL ^{[1
]}

机构：

[1] QUEEN ELIZABETH HOSP,DEPT ANAESTHESIA & RESUSCITAT,ADELAIDE,SA,AUSTRALIA

来源：

ANAESTHESIA AND INTENSIVE CARE | 1993年 / 21卷 / 03期

关键词：

ANESTHETIC TECHNIQUES-REGIONAL; EPIDURAL; SUBDURAL; SUBARACHNOID; COMPLICATION;

D O I：

10.1177/0310057X9302100312

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Accidental dural puncture is a well-recognised complication of epidural anaesthesia. The technique of inserting the epidural needle with the bevel parallel to the spinal ligaments is still taught in some centres. Evidence is presented that the subsequent turning of the needle to allow passage of the epidural catheter may increase the likelihood of dural puncture. There would also appear to be a greater chance of subdural catheterisation. The epidural needle should be introduced with the bevel in the direction in which the catheter is to go and not moved once the epidural space is located.

引用

页码：328 / 330

页数：3

共 14 条

[1]

Bromage PR, 1978, EPIDURAL ANALGESIA, P176

[2] EPIDURAL NEEDLE ROTATION AND INADVERTENT DURAL PUNCTURE WITH CATHETER [J].

CARTER, LC ;

POPAT, MT ;

WALLACE, DH .

ANAESTHESIA, 1992, 47 (05) :447-448

[3]

CROWHURST PE, 1985, ANAESTH INTENS CARE, V13, P213

[4]

FRANKSSON C, 1946, ACTA CHIR SCAND, V94, P443

[5] Lumbar puncture and the prevention of postpuncture headache [J].

Greene, HM .

JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1926, 86 :391-392

[6] CAN EPIDURAL CATHETERS PENETRATE DURA-MATER - AN ANATOMICAL STUDY [J].

HARDY, PAJ .

ANAESTHESIA, 1986, 41 (11) :1146-1147

[7] PENCIL-POINT NEEDLE IN PREVENTION OF POSTSPINAL HEADACHE [J].

HART, JR ;

WHITACRE, RJ .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1951, 147 (07) :657-658

[8] A TECHNIQUE TO AVOID DURAL PUNCTURE BY THE EPIDURAL CATHETER [J].

HUGHES, JA ;

OLDROYD, GJ .

ANAESTHESIA, 1991, 46 (09) :802-802

[9] INJECTION INTO EXTRA-ARACHNOID SUBDURAL SPACE - EXPERIENCE IN TREATMENT OF INTRACTABLE CERVICAL PAIN AND IN CONDUCT OF EXTRADURAL (EPIDURAL) ANALGESIA [J].

MEHTA, M ;

MAHER, R .

ANAESTHESIA, 1977, 32 (08) :760-766

[10] THE EFFECT OF ROTATION OF AN EPIDURAL NEEDLE - AN INVITRO STUDY [J].

MEIKLEJOHN, BH .

ANAESTHESIA, 1987, 42 (11) :1180-1182

← 1 2 →