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Needle size not tied to postdural puncture headache in orthopedic patients

(HealthDay)—No cases of postdural puncture headache (PDPH) were reported in a cohort of patients receiving spinal injections with smaller or larger needles for spinal anesthesia during orthopedic procedures, according to a study presented at the annual Regional Anesthesiology and Acute Pain Medicine Meeting, held from May 13 to 15 in Lake Buena Vista, Florida.

Andrew Wong, M.D., from Duke University Medical Center in Durham, buspar obsessive compulsive disorder North Carolina, and colleagues conducted a retrospective chart review to examine PDPH incidence among patients who received spinal injections for spinal anesthesia during orthopedic procedures. The incidence of PDPH was compared with use of a 22-gauge Quincke cutting needle and a 25-gauge pencil-point needle.

Data were included for 3,980 patients who received spinal injections for orthopedic procedures, ranging in age from 18 to 90 years, with an average body mass index of 29.57 kg/m². The researchers found no reported incidences of PDPH.

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