Acta Scientific Medical Sciences (ISSN: 2582-0931)

Letter to Editor Volume 4 Issue 7

What is the Best Needle for Spinal Thoracic Anesthesia: Pencil Point Needle or Cut Point Needle? Letter to Editor

Luiz Eduardo Imbelloni*

Anesthesiologist of Hospital Clínicas Municipal São Bernardo do Campo, São Bernardo do Campo, SP, Brazil

*Corresponding Author: Luiz Eduardo Imbelloni, Anesthesiologist of Hospital Clínicas Municipal São Bernardo do Campo, São Bernardo do Campo, SP, Brazil.

Received: April 20, 2020; Published: June 19, 2020

×

We recently demonstrated the safety of thoracic spinal anesthesia by the study with MRI in 50 patients [1]. In order to verify the incidence of neurological complications in spinal thoracic anesthesia, a study was carried out comparing the two most frequently used needles (Cut vs Point Pencil) in 300 patients divided into two groups of 150 patients, puncture success was observed in all patients with 20 (6.6%) paresthesia with no significant difference between the needles [2]. All paresthesia were transient and no neurologic complications were observed.

×

References

  1. Imbelloni LE., et al. “The anatomy of the thoracic spinal canal investigated with magnetic resonance imaging”. Anesthesia and Analgesia 5 (2010): 1494-1495.
  2. Imbelloni LE., et al. “The Incidence of Paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle Compared to pencil point needle. Study in 300 patients”. Journal of Anesthesia and Clinical Research 2 (2010): 106.
  3. Imbelloni LE., et al. “Thoracic spinal anesthesia with low doses of local anesthetic decreases the latency time, motor block and cardiovascular changes. Study in 636 patients”. Journal of Anesthesia and Clinical Research S11 (2011): 001.
  4. Leão DG. “Thoracic epidural anesthesia: Analysis of 1240 cases”. Revista Brasileira de Anestesiologia 47 (1997): 138-147.
  5. Jonnesco T. “General spinal analgesia”. British Medical Journal 2 (1909): 1396-1401.
  6. Frumin MJ., et al. “Dorsal root ganglion blockade during threshold segmental spinal anesthesia in man”. Journal of Pharmacology and Experimental Therapeutics 3 (1954): 387-392.
  7. van Zundert AAJ., et al. “Laparoscopic cholecystectomy under segmental thoracic spinal anaesthesia: a feasibility study”. British Journal of Anaesthesia 5 (2007): 682-686.
  8. Krommendijk EJ., et al. “The pencan 25-gauge needle: A new pencil-point for spinal anesthesia tested in 1,193 patients”. Regional Anesthesia and Pain Medicine 1 (1999): 43-50.
  9. Turner MA and Shaw M. “Atraumatic spinal needles”. Anaesthesia 5 (1993): 452.
  10. Reynolds F. “Damage to the conus medullaris following spinal anaesthesia”. Anaesthesia3 (2001): 238-247.
  11. Reina MA., et al. “An in vitro study of dural lesions produced by 25-gauge Quincke and Whitacre needles evaluated by scanning electron microscopy”. Regional Anesthesia and Pain Medicine 4 (2000): 393-402.
×

Citation

Citation: Luiz Eduardo Imbelloni. “What is the Best Needle for Spinal Thoracic Anesthesia: Pencil Point Needle or Cut Point Needle? Letter to Editor". Acta Scientific Medical Sciences 4.7 (2020): 33-34.



Member In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 15, 2020.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US