{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T18:59:11Z","timestamp":1778007551093,"version":"3.51.4"},"reference-count":21,"publisher":"Termedia Sp. z.o.o.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"Background<\/jats:title>Concern has been raised that Sprotte needles predispose to spinal anes\u00adthesia failure. Nevertheless, these needles are associated with a\u00a0low incidence of postdural puncture headache. The impact of the paramedian approach to postdural puncture headache remains controversial. The objective of this prospective randomized study was to compare Sprotte, Quincke and Atraucan needles as well as the midline and the paramedian approach in terms of postdural puncture headache and spinal anesthesia failure in patients undergoing Caesarean section.<\/jats:p><\/jats:sec>Methods<\/jats:title>655 patients were randomized to 5 groups. A\u00a0midline approach was used in four groups. The spinal needles were the 25G Sprotte, 27G Sprotte, 26G Atraucan and 25G Quincke. In the fifth group a\u00a025G Quincke needle was used by the paramedian approach.<\/jats:p><\/jats:sec>Results<\/jats:title>The incidence of postdural puncture headache was 0% in both 25G and 27G Sprotte groups, 2.5% in the 26G Atraucan group, and 7.2% and 2.7% in the 25G Quincke midline and paramedian approach respectively. A\u00a0significant difference in terms of postdural puncture headache was found between 25G Sprotte and 25G Quincke needles (P = 0.004), while the failure rate was similar between these two needles. A\u00a0significant difference in spinal anesthesia failure rate was observed between midline and paramedian approaches (P = 0.041).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Sprotte but not Atraucan needle design correlates with lower incidence of postdural puncture headache compared to Quincke design. Sprotte needles are not associated with a\u00a0higher spinal anesthesia failure compared to Quincke needles. The incidence of postdural puncture headache by the paramedian approach is not significantly reduced whereas the spinal anesthesia failure rate is increased in comparison to the midline approach.<\/jats:p><\/jats:sec>","DOI":"10.5114\/ait.2019.86166","type":"journal-article","created":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T09:28:02Z","timestamp":1568712482000},"page":"77-82","source":"Crossref","is-referenced-by-count":11,"title":["Impact of spinal needle design and approach to postdural puncture headache and spinal anesthesia failure in obstetrics"],"prefix":"10.5114","volume":"51","author":[{"given":"Roumiana","family":"Batova","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvi","family":"Georgiev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2019,6,18]]},"reference":[{"key":"ref-1384549","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010807"},{"key":"ref-1384550","doi-asserted-by":"publisher","DOI":"10.1007\/BF03021057"},{"key":"ref-1384551","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000775"},{"key":"ref-1384552","doi-asserted-by":"publisher","DOI":"10.1097\/01.nrl.0000219638.81115.c4"},{"key":"ref-1384553","doi-asserted-by":"crossref","unstructured":"Ready LB, Cuplin S, Haschke RH, Nessly M. Spinal needle determinants of rate of transdural fluid leak. Anesth Analg 1989; 69: 457-460.","DOI":"10.1213\/00000539-198910000-00006"},{"key":"ref-1384554","unstructured":"Hatfalvi BI. Postulated mechanisms for postdural puncture headache and review of laboratory models. Clinical experience. Reg Anesth 1995; 20: 329-336."},{"key":"ref-1384555","doi-asserted-by":"crossref","unstructured":"Zorrilla-Vaca, Makkar JK. Effectiveness of lateral decubitus position for preventing post-dural puncture headache: a meta-analysis. Pain Physician 2017; 20: E521-E529.","DOI":"10.36076\/ppj.2017.E529"},{"key":"ref-1384556","doi-asserted-by":"crossref","unstructured":"Crone LA, Vogel W. Failed spinal anesthesia with the Sprotte needle. Anesthesiology 1991; 75: 717-718.","DOI":"10.1097\/00000542-199110000-00048"},{"key":"ref-1384557","unstructured":"Sayeed YG, Sosis MB, Braveman B, Ivankovich AD. An in vitro investigation of the relationship between spinal needle design and failed spinal anesthetics. Reg Anesth 1993; 18: 166-169."},{"key":"ref-1384558","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep132"},{"key":"ref-1384559","doi-asserted-by":"crossref","unstructured":"Cesarini M, Torrielli R, Lahaye F, et al. Sprotte needle for intrathecal anaesthesia for caesarean section: incidence of postdural puncture headache. Anaesthesia 1990; 45: 656-658. https:\/\/doi.org\/10.1111\/ j.1365-2044.1990.tb14392.x.","DOI":"10.1111\/j.1365-2044.1990.tb14392.x"},{"key":"ref-1384560","doi-asserted-by":"crossref","unstructured":"Aglan MY, Stansby PK. Modification to the Sprotte spinal needle. Anaesthesia 1992; 47: 506-507.","DOI":"10.1111\/j.1365-2044.1992.tb02277.x"},{"key":"ref-1384561","doi-asserted-by":"crossref","unstructured":"Buettner J, Wresch KP, Klose R. Fewer failed spinal anesthetics with the Sprotte needle. Anesthesiology 1992; 77: 393.","DOI":"10.1097\/00000542-199208000-00029"},{"key":"ref-1384562","doi-asserted-by":"publisher","DOI":"10.1007\/BF03009601"},{"key":"ref-1384563","doi-asserted-by":"crossref","unstructured":"Standl T, Stanek A, Burmeister MA, et al. Spinal anesthesia performance conditions and side effects are comparable between the newly designed Ballpen and the Sprotte needle: results of a prospective comparative randomized multicenter study. Anesth Analg 2004; 98: 512-517.","DOI":"10.1213\/01.ANE.0000097183.93259.74"},{"key":"ref-1384564","doi-asserted-by":"crossref","unstructured":"Ackerman W, Cases-Cristobal V, Juneja M et al, Sprotte needle for caesarean section. Anaesthesia 1991; 46: 230.","DOI":"10.1111\/j.1365-2044.1991.tb09419.x"},{"key":"ref-1384565","doi-asserted-by":"publisher","DOI":"10.4172\/2155-6148.1000106"},{"key":"ref-1384566","doi-asserted-by":"crossref","unstructured":"Krommendijk EJ, Verheijen R, van Dijk B, et al. The PENCAN 25-gauge needle: a new pencil-point needle for spinal anesthesia tested in 1,193 patients. Reg Anesth Pain Med 1999; 24: 43-50.","DOI":"10.1016\/S1098-7339(99)90164-5"},{"key":"ref-1384567","doi-asserted-by":"crossref","unstructured":"Lybecker H, Djernes M, Schmidt JF. Postdural puncture headache (PDPH): onset, duration, severity, and associated symptoms. An analysis of 75 consecutive patients with PDPH. Acta Anaesthesiol Scand 1995; 39: 605-612.","DOI":"10.1111\/j.1399-6576.1995.tb04135.x"},{"key":"ref-1384568","doi-asserted-by":"crossref","unstructured":"Vallejo MC, Mandell GL, Sabo DP, Ramanathan S. Postdural puncture headache: a randomized comparison of five spinal needles in obstetric patients. Anesth Analg 2000; 91: 916-920.","DOI":"10.1097\/00000539-200010000-00027"},{"key":"ref-1384569","unstructured":"Colvin JR. Raising the Standard. A Compendium of Audit Recipes for Continuous Quality Improvement in Anaesthesia. 2nd ed. The Royal College of Anaesthetists, London 2006."}],"container-title":["Anaesthesiology Intensive Therapy"],"original-title":[],"link":[{"URL":"https:\/\/www.ait-journal.com\/pdf-201283-122035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ait-journal.com\/pdf-201283-122035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T11:08:14Z","timestamp":1743073694000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ait-journal.com\/Impact-of-spinal-needle-design-and-approach-to-postdural-puncture-headache-and-spinal,201283,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,18]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"alternative-id":["201283"],"URL":"https:\/\/doi.org\/10.5114\/ait.2019.86166","relation":{},"ISSN":["1642-5758","1731-2531"],"issn-type":[{"value":"1642-5758","type":"print"},{"value":"1731-2531","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,18]]}}}