The incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients

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dc.contributor.authorImbelloni, Luiz Eduardo
dc.contributor.authorPitombo, Patricia Falcão [UNESP]
dc.contributor.authorGanem, Eliana Marisa [UNESP]
dc.contributor.institutionHospital de Base-FAMERP
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-29T02:17:32Z
dc.date.available2022-04-29T02:17:32Z
dc.date.issued2010-11-01
dc.description.abstractBackground: 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.en
dc.description.affiliationInstitute for Regional Anesthesia Hospital de Base-FAMERP, São José do Rio Preto, SP
dc.description.affiliationDepartment of Anesthesiology Botucatu Medical School University of São Paulo State
dc.description.affiliationDepartment of Anesthesiology Botucatu Medical School University of São Paulo
dc.description.affiliationUnespDepartment of Anesthesiology Botucatu Medical School University of São Paulo State
dc.description.affiliationUnespDepartment of Anesthesiology Botucatu Medical School University of São Paulo
dc.identifierhttp://dx.doi.org/10.4172/2155-6148.1000106
dc.identifier.citationJournal of Anesthesia and Clinical Research, v. 1, n. 2, 2010.
dc.identifier.doi10.4172/2155-6148.1000106
dc.identifier.issn2155-6148
dc.identifier.scopus2-s2.0-84855283371
dc.identifier.urihttp://hdl.handle.net/11449/226664
dc.language.isoeng
dc.relation.ispartofJournal of Anesthesia and Clinical Research
dc.sourceScopus
dc.subjectAnesthesia
dc.subjectNeedles
dc.subjectParesthesia
dc.subjectSpinal
dc.subjectSubaracnoid
dc.titleThe incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patientsen
dc.typeArtigo

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