We read with much interest the recent retrospective study titled “Spinal anesthesia
in infants undergoing urologic surgery duration greater than 60 min” by Jefferson
et al. [
[1]
] performed in Mayo Clinic.To read this article in full you will need to make a payment
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References
- Spinal anesthesia in infants undergoing urologic surgery duration greater than 60 minutes.J Pediatr Urol. 2022; 14 (1477-5131(22)00304-7. https://doi.org/10.1016/j.jpurol.2022.07.003)
- Is spinal anesthesia not enough for major abdominal procedures of neonates?.Paediatr Anaesth. 2008; 18: 1219https://doi.org/10.1111/j.1460-9592.2008.02701.x
- Iatrogenic epidermoid tumor: late complication of lumbar puncture.J Child Neurol. 2007; 22: 332-336https://doi.org/10.1177/0883073807300531
- Spinal needle design and size affect the incidence of postdural puncture headache in children.Paediatr Anaesth. 2010; 20: 177-182https://doi.org/10.1111/j.1460-9592.2009.03236.x
- Postdural puncture headache and transient neurologic symptoms in children after spinal anaesthesia using cutting and pencil point paediatric spinal needles.Acta Anaesthesiol Scand. 1998; 42: 1076-1082https://doi.org/10.1111/j.1399-6576.1998.tb05379.x
Article info
Publication history
Published online: January 12, 2023
Accepted:
December 19,
2022
Received:
December 17,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
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- Response to letter to the editorJournal of Pediatric Urology
- PreviewIt is our standard to perform lumbar puncture for diagnostic and spinal anesthesia with the stylet in the needle and only remove it when we think we have punctured the dura. If CSF does not drip, we re-stylet until we check again for CSF drip. It would be rare to maneuver the needle without stylet unless we are already in the intrathecal space. We use a needle with a stylet to prevent the carving of the epidermis or dermis, plugging the needle, and not seeing quick CSF drip when the needle is in the intrathecal space.
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