A motorised stereo-microscobic evaluation of cut-bevel (quincke) versus atraumatic (atraucan) spinal needles. Oguzalp, H., Sagir, O., Akogul, Z., Kaya, A., Kaynak, G., & Yilmazlar, A. Regional Anesthesia and Pain Medicine, 40(5):e102–e103, 2015.
A motorised stereo-microscobic evaluation of cut-bevel (quincke) versus atraumatic (atraucan) spinal needles [link]Paper  doi  abstract   bibtex   
Aims: Gross deformation of the spinal needle tip may occur during spinal needle insertion due to bone impact in the spinal anaesthesia procedures. The primary objective of this study was to examine deformation differences between two kinds of spinal needle tip. Method: A total of 41 females, aged 18-45 years, undergoing caesarean section delivery were administered spinal anesthesia of 0.5%-weighted (2ml) bupivacaine, using a 27G, 3.5 inch cut-bevel (Quincke) spinal needle (B.Braun) in 21 cases and a 26G, 3.5 inch autraumatic (Atraucan) spinal needle (B.Braun) in 20 cases. In all patients prior to the anaesthesia administration in the sitting position, 250-500 ml SF was administered. Following the intervention, the spinal needles were retained for evaluation by motorised stereomicroscopy. Results: In a motorised stero-microscopic evaluation, lost tip was detected in 50% of impacted needles and in none of the non-impacted needles in the cut bevel group. Lost tip was detected in 25% of the impacted needles and in 16.6% of the non-impacted needles in the autraumatic group. Conclusion: There seems to be no difference between the two kinds of spinal needles. Further studies can be suggested for innovative spinal needle design.
@article{oguzalp_motorised_2015-2,
	title = {A motorised stereo-microscobic evaluation of cut-bevel (quincke) versus atraumatic (atraucan) spinal needles},
	volume = {40},
	issn = {1098-7339},
	url = {http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L72027177},
	doi = {10.1097/AAP.0000000000000308},
	abstract = {Aims: Gross deformation of the spinal needle tip may occur during spinal needle insertion due to bone impact in the spinal anaesthesia procedures. The primary objective of this study was to examine deformation differences between two kinds of spinal needle tip. Method: A total of 41 females, aged 18-45 years, undergoing caesarean section delivery were administered spinal anesthesia of 0.5\%-weighted (2ml) bupivacaine, using a 27G, 3.5 inch cut-bevel (Quincke) spinal needle (B.Braun) in 21 cases and a 26G, 3.5 inch autraumatic (Atraucan) spinal needle (B.Braun) in 20 cases. In all patients prior to the anaesthesia administration in the sitting position, 250-500 ml SF was administered. Following the intervention, the spinal needles were retained for evaluation by motorised stereomicroscopy. Results: In a motorised stero-microscopic evaluation, lost tip was detected in 50\% of impacted needles and in none of the non-impacted needles in the cut bevel group. Lost tip was detected in 25\% of the impacted needles and in 16.6\% of the non-impacted needles in the autraumatic group. Conclusion: There seems to be no difference between the two kinds of spinal needles. Further studies can be suggested for innovative spinal needle design.},
	number = {5},
	journal = {Regional Anesthesia and Pain Medicine},
	author = {Oguzalp, H. and Sagir, O. and Akogul, Z. and Kaya, A. and Kaynak, G. and Yilmazlar, A.},
	year = {2015},
	keywords = {European, anesthesia, bone, bupivacaine, cesarean section, female, human, needle, pain, patient, procedures, regional anesthesia, sitting, society, spinal anesthesia, spinal needle, stereomicroscopy, therapy},
	pages = {e102--e103}
}

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