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Change practice now! Using atraumatic needles to prevent post lumbar puncture headache
- Source :
- European journal of neurology. 21(2)
- Publication Year :
- 2013
-
Abstract
- Background and purpose Lumbar puncture (LP) is a key diagnostic procedure in medicine. Post lumbar puncture headache (PLPHA) is a well recognized complication of LP. Evidence suggests that using atraumatic needles for diagnostic LP (ATNLP) reduces risk of PLPHA. However, clinicians in Europe and the USA routinely use traumatic needles for diagnostic LP (TNLP). The occurrence of PLPHA following ATNLP and TNLP was compared in a clinical setting. Further, a survey was performed exploring use of ATNLP amongst UK neurologists. Methods Service development study. Patients were followed up 2 and 7 days after LP using blinded telephone assessment. A questionnaire was developed to assess use of ATNLP amongst UK neurologists. Frequency, onset, duration and severity of PLPHA were recorded as were use of analgesia, general practitioner consultations, hospital readmissions, days off work due to PLPHA and cost. Neurologists were asked about their familiarity with, and use of, ATNLP. Results One hundred and nine participants attending the Royal London Hospital were included, and 74 attendees of the Association of British Neurologists 2012 conference completed an on-site questionnaire. ATNLP reduced the rate of PLPHA (27.1% vs. 60.4%; P
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Spinal Puncture
Young Adult
Surveys and Questionnaires
Medicine
Humans
Aged
medicine.diagnostic_test
business.industry
Lumbar puncture
Middle Aged
Cost savings
Neurology
Needles
Health Care Surveys
Physical therapy
Female
Neurology (clinical)
Post-Dural Puncture Headache
business
Complication
Post-Lumbar Puncture Headache
Service development
Subjects
Details
- ISSN :
- 14681331
- Volume :
- 21
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- European journal of neurology
- Accession number :
- edsair.doi.dedup.....1940eb36a999689d94b81094763ad9f5