The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.4172/2155-6148.1000106 http://hdl.handle.net/11449/226664 |
Resumo: | Background: Anesthesiologists are reluctant to considerer higher levels for spinal anesthesia largely due to direct threats to spinal cord. Paresthesias are relatively common during spinal needle insertion; however, the clinical significance of the paresthesia is unknown. The main objective of this prospective study was to evaluate the incidence of paresthesia and neurologic complications after lower thoracic spinal anesthesia with a cut needle compared to a pencil point needle. Methods: Low thoracic spinal puncture (T10-T11) was performed in 300 patients in elective surgery using different techniques in this single-blind prospective trial. Patients randomized to 2 groups: group 1, subarachnoid puncture using a cut needle without introducer and group 2, subarachnoid puncture using a pencil point needle with introducer. In both groups patients were in the lateral or sitting position. Results: Paresthesias occurred in 20/300 (6.6%) of patients. Seven patients experienced a paresthesia with cut needle compared with 13 patients with pencil point, without statistical difference. All paresthesias were transient. No neurologic complications were observed in all patients during this study. Conclusions: Our data suggest that all transient paresthesia are transitory. Lower thoracic puncture is safe. Traumatic injury to the spinal cord is a rare cause of neurologic deficits in the thoracic puncture. © 2010 Imbelloni LE, et al. |
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The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patientsAnesthesiaNeedlesParesthesiaSpinalSubaracnoidBackground: Anesthesiologists are reluctant to considerer higher levels for spinal anesthesia largely due to direct threats to spinal cord. Paresthesias are relatively common during spinal needle insertion; however, the clinical significance of the paresthesia is unknown. The main objective of this prospective study was to evaluate the incidence of paresthesia and neurologic complications after lower thoracic spinal anesthesia with a cut needle compared to a pencil point needle. Methods: Low thoracic spinal puncture (T10-T11) was performed in 300 patients in elective surgery using different techniques in this single-blind prospective trial. Patients randomized to 2 groups: group 1, subarachnoid puncture using a cut needle without introducer and group 2, subarachnoid puncture using a pencil point needle with introducer. In both groups patients were in the lateral or sitting position. Results: Paresthesias occurred in 20/300 (6.6%) of patients. Seven patients experienced a paresthesia with cut needle compared with 13 patients with pencil point, without statistical difference. All paresthesias were transient. No neurologic complications were observed in all patients during this study. Conclusions: Our data suggest that all transient paresthesia are transitory. Lower thoracic puncture is safe. Traumatic injury to the spinal cord is a rare cause of neurologic deficits in the thoracic puncture. © 2010 Imbelloni LE, et al.Institute for Regional Anesthesia Hospital de Base-FAMERP, São José do Rio Preto, SPDepartment of Anesthesiology Botucatu Medical School University of São Paulo StateDepartment of Anesthesiology Botucatu Medical School University of São PauloDepartment of Anesthesiology Botucatu Medical School University of São Paulo StateDepartment of Anesthesiology Botucatu Medical School University of São PauloHospital de Base-FAMERPUniversidade Estadual Paulista (UNESP)Imbelloni, Luiz EduardoPitombo, Patricia Falcão [UNESP]Ganem, Eliana Marisa [UNESP]2022-04-29T02:17:32Z2022-04-29T02:17:32Z2010-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.4172/2155-6148.1000106Journal of Anesthesia and Clinical Research, v. 1, n. 2, 2010.2155-6148http://hdl.handle.net/11449/22666410.4172/2155-6148.10001062-s2.0-84855283371Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Anesthesia and Clinical Researchinfo:eu-repo/semantics/openAccess2024-08-14T13:20:37Zoai:repositorio.unesp.br:11449/226664Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:37Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
title |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
spellingShingle |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients Imbelloni, Luiz Eduardo Anesthesia Needles Paresthesia Spinal Subaracnoid |
title_short |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
title_full |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
title_fullStr |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
title_full_unstemmed |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
title_sort |
The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients |
author |
Imbelloni, Luiz Eduardo |
author_facet |
Imbelloni, Luiz Eduardo Pitombo, Patricia Falcão [UNESP] Ganem, Eliana Marisa [UNESP] |
author_role |
author |
author2 |
Pitombo, Patricia Falcão [UNESP] Ganem, Eliana Marisa [UNESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Hospital de Base-FAMERP Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Imbelloni, Luiz Eduardo Pitombo, Patricia Falcão [UNESP] Ganem, Eliana Marisa [UNESP] |
dc.subject.por.fl_str_mv |
Anesthesia Needles Paresthesia Spinal Subaracnoid |
topic |
Anesthesia Needles Paresthesia Spinal Subaracnoid |
description |
Background: Anesthesiologists are reluctant to considerer higher levels for spinal anesthesia largely due to direct threats to spinal cord. Paresthesias are relatively common during spinal needle insertion; however, the clinical significance of the paresthesia is unknown. The main objective of this prospective study was to evaluate the incidence of paresthesia and neurologic complications after lower thoracic spinal anesthesia with a cut needle compared to a pencil point needle. Methods: Low thoracic spinal puncture (T10-T11) was performed in 300 patients in elective surgery using different techniques in this single-blind prospective trial. Patients randomized to 2 groups: group 1, subarachnoid puncture using a cut needle without introducer and group 2, subarachnoid puncture using a pencil point needle with introducer. In both groups patients were in the lateral or sitting position. Results: Paresthesias occurred in 20/300 (6.6%) of patients. Seven patients experienced a paresthesia with cut needle compared with 13 patients with pencil point, without statistical difference. All paresthesias were transient. No neurologic complications were observed in all patients during this study. Conclusions: Our data suggest that all transient paresthesia are transitory. Lower thoracic puncture is safe. Traumatic injury to the spinal cord is a rare cause of neurologic deficits in the thoracic puncture. © 2010 Imbelloni LE, et al. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-11-01 2022-04-29T02:17:32Z 2022-04-29T02:17:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.4172/2155-6148.1000106 Journal of Anesthesia and Clinical Research, v. 1, n. 2, 2010. 2155-6148 http://hdl.handle.net/11449/226664 10.4172/2155-6148.1000106 2-s2.0-84855283371 |
url |
http://dx.doi.org/10.4172/2155-6148.1000106 http://hdl.handle.net/11449/226664 |
identifier_str_mv |
Journal of Anesthesia and Clinical Research, v. 1, n. 2, 2010. 2155-6148 10.4172/2155-6148.1000106 2-s2.0-84855283371 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Anesthesia and Clinical Research |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128162970730496 |