In Jefferson et al. (1) retrospective study they use needle without introducer, because of difficulty
routine spinal needle. However, SA should be performed using a spinal needle, especially
in children. Otherwise, the risk of iatrogenic epidermoid tumor increase as a result
of a complication from a lumbar puncture that performed a needle without an introducer
(3). Can we ignore the complication and routinely use the needle without an introducer?
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References
- Local anesthetic and stylet styles: factors associated with resident lumbar puncture success.Pediatrics. 2006; 117: 876-881
- Risk factors for traumatic or unsuccessful lumbar punctures in children.Ann Emerg Med. 2007; 49: 762-771
- A dose-response study of bupivacaine for spinal anesthesia.Anesth Analg. 1983; 62: 931-935
Article info
Publication history
Published online: January 12, 2023
Accepted:
January 5,
2023
Received:
January 4,
2023
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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- Critical tips and questions on pediatric spinal anaesthesiaJournal of Pediatric Urology