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The Impact of Spinal Needle Selection on Postdural Puncture Headache

A Meta-Analysis and Metaregression of Randomized Studies

Zorrilla-Vaca, A.; Mathur, V.; Wu, C.L.; Grant, M.C.

Obstetric Anesthesia Digest: June 2019 - Volume 39 - Issue 2 - p 82
doi: 10.1097/01.aoa.0000557666.40775.e4
Mechanisms, Equipment, Hazards
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(Reg Anesth Pain Med. 2018;43:502–508)

As the use of neuraxial anesthesia is potentially broadening, an increased understanding and prevention of postdural puncture headache (PDPH) is needed. While numerous studies have examined either needle gauge or design, there has not been a comprehensive study analyzing individual technical and patient-related factors. This meta-analysis aimed to examine the association between spinal needle characteristics and PDPH.

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD; and Faculty of Health, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia

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