abduct the arm. How-
ever, introducing the
needle under the clav-
icle creates a blind
spot during ultra-
sound visualization,
which can lead to
inadvertent vascular
puncture or pneu-
mothorax. New tech-
niques and approach-
es are geared to pre-
vent these complica-
tions.
Regional anesthesia
results in less
hypotension, urinary
retention and resid-
ual muscle weakness
— each of which are
often seen in patients
who receive a spinal
blockade. For those
reasons, my prefer-
ence is to use ultra-
sound-guided nerve
blocks instead of
spinals in the outpa-
tient setting. For
example, during
LUER
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MADE IN GERMANY
1 Vallejo M. C., Mandell G. L., Sabo D. P., Ramanathan S. Postdural Puncture Headache: A Randomized
Comparison of Five Spinal Needles in Obstetric Patients 2000; Anesth. Analg, 2000; 91:916–20
2 Hong X., Yang L., WenYe S., ShunLi K., FeiFei L., Di Z., GuangZhi N., ShiQing F. Comparison of Cutting and Pencil-Point
Spinal Needle in Spinal Anesthesia regarding Postdural Puncture Headache: A Meta-Analysis 2017: Medicine 96:14 www.md-journal.com
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Non-cutting tip minimizes risk of
Post Dural Puncture Headache (PDPH)
1,2
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Custom fit stylet
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