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• W1814936634 abstract "Post-dural puncture headache (PDPH) is one of the most common complications of diagnostic and therapeutic lumbar punctures. PDPH is defined as any headache occurring after a lumbar puncture that worsens within 15 minutes of sitting or standing and is relieved within 15 minutes of the patient lying down. Researchers have suggested many types of interventions to help prevent PDPH. It has been suggested that aspects such as needle tip and gauge can be modified to decrease the incidence of PDPH.To assess the effects of needle tip design (traumatic versus atraumatic) and diameter (gauge) on the prevention of PDPH in participants who have undergone dural puncture for diagnostic or therapeutic causes.We searched CENTRAL, MEDLINE, Embase, CINAHL and LILACS, as well as trial registries via the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search portal in September 2016. We adopted the MEDLINE strategy for searching the other databases. The search terms we used were a combination of thesaurus-based and free-text terms for both interventions (lumbar puncture in neurological, anaesthesia or myelography settings) and headache.We included randomized controlled trials (RCTs) conducted in any clinical/research setting where dural puncture had been used in participants of all ages and both genders, which compared different tip designs or diameters for prevention of PDPH DATA COLLECTION AND ANALYSIS: We used the standard methodological procedures expected by Cochrane.We included 70 studies in the review; 66 studies with 17,067 participants were included in the quantitative analysis. An additional 18 studies are awaiting classification and 12 are ongoing. Fifteen of the 18 studies awaiting classification mainly correspond to congress summaries published before 2010, in which the available information does not allow the complete evaluation of all their risks of bias and characteristics. Our main outcome was prevention of PDPH, but we also assessed the onset of severe PDPH, headache in general and adverse events. The quality of evidence was moderate for most of the outcomes mainly due to risk of bias issues. For the analysis, we undertook three main comparisons: 1) traumatic needles versus atraumatic needles; 2) larger gauge traumatic needles versus smaller gauge traumatic needles; and 3) larger gauge atraumatic needles versus smaller gauge atraumatic needles. For each main comparison, if data were available, we performed a subgroup analysis evaluating lumbar puncture indication, age and posture.For the first comparison, the use of traumatic needles showed a higher risk of onset of PDPH compared to atraumatic needles (36 studies, 9378 participants, risk ratio (RR) 2.14, 95% confidence interval (CI) 1.72 to 2.67, I2 = 9%).In the second comparison of traumatic needles, studies comparing various sizes of large and small gauges showed no significant difference in effects in terms of risk of PDPH, with the exception of one study comparing 26 and 27 gauge needles (one study, 658 participants, RR 6.47, 95% CI 2.55 to 16.43).In the third comparison of atraumatic needles, studies comparing various sizes of large and small gauges showed no significant difference in effects in terms of risk of PDPH.We observed no significant difference in the risk of paraesthesia, backache, severe PDPH and any headache between traumatic and atraumatic needles. Sensitivity analyses of PDPH results between traumatic and atraumatic needles omitting high risk of bias studies showed similar results regarding the benefit of atraumatic needles in the prevention of PDPH (three studies, RR 2.78, 95% CI 1.26 to 6.15; I2 = 51%).There is moderate-quality evidence that atraumatic needles reduce the risk of post-dural puncture headache (PDPH) without increasing adverse events such as paraesthesia or backache. The studies did not report very clearly on aspects related to randomization, such as random sequence generation and allocation concealment, making it difficult to interpret the risk of bias in the included studies. The moderate quality of the evidence for traumatic versus atraumatic needles suggests that further research is likely to have an important impact on our confidence in the estimate of effect." @default.
• W1814936634 created "2016-06-24" @default.
• W1814936634 creator A5000621028 @default.
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• W1814936634 date "2017-04-07" @default.
• W1814936634 modified "2023-10-08" @default.
• W1814936634 title "Needle gauge and tip designs for preventing post-dural puncture headache (PDPH)" @default.
• W1814936634 cites W102928584 @default.
• W1814936634 cites W135095594 @default.
• W1814936634 cites W135493837 @default.
• W1814936634 cites W139222564 @default.
• W1814936634 cites W1498545553 @default.
• W1814936634 cites W1540230658 @default.
• W1814936634 cites W1566179564 @default.
• W1814936634 cites W1567647700 @default.
• W1814936634 cites W1586544543 @default.
• W1814936634 cites W158955902 @default.
• W1814936634 cites W1736348283 @default.
• W1814936634 cites W1814936634 @default.
• W1814936634 cites W184197480 @default.
• W1814936634 cites W1878968806 @default.
• W1814936634 cites W18925029 @default.
• W1814936634 cites W1943487902 @default.
• W1814936634 cites W1943559531 @default.
• W1814936634 cites W1963499623 @default.
• W1814936634 cites W1963788859 @default.
• W1814936634 cites W1966370728 @default.
• W1814936634 cites W1969965293 @default.
• W1814936634 cites W1970692989 @default.
• W1814936634 cites W1972189817 @default.
• W1814936634 cites W1972840515 @default.
• W1814936634 cites W1973760690 @default.
• W1814936634 cites W1973843606 @default.
• W1814936634 cites W1974556440 @default.
• W1814936634 cites W1974795600 @default.
• W1814936634 cites W1976520582 @default.
• W1814936634 cites W1976575482 @default.
• W1814936634 cites W1978578709 @default.
• W1814936634 cites W1979622538 @default.
• W1814936634 cites W1979766440 @default.
• W1814936634 cites W1981680557 @default.
• W1814936634 cites W1982917157 @default.
• W1814936634 cites W1983168045 @default.
• W1814936634 cites W1984056848 @default.
• W1814936634 cites W1989295378 @default.
• W1814936634 cites W1992078259 @default.
• W1814936634 cites W1993352787 @default.
• W1814936634 cites W1995066221 @default.
• W1814936634 cites W1996371582 @default.
• W1814936634 cites W1997116919 @default.
• W1814936634 cites W2003444117 @default.
• W1814936634 cites W2003774651 @default.
• W1814936634 cites W2004220337 @default.
• W1814936634 cites W2006660905 @default.
• W1814936634 cites W2009326492 @default.
• W1814936634 cites W2009493230 @default.
• W1814936634 cites W2010149513 @default.
• W1814936634 cites W2010995311 @default.
• W1814936634 cites W2015169764 @default.
• W1814936634 cites W2017274461 @default.
• W1814936634 cites W2019211065 @default.
• W1814936634 cites W2022263987 @default.
• W1814936634 cites W2022943201 @default.
• W1814936634 cites W2025228047 @default.
• W1814936634 cites W2026007408 @default.
• W1814936634 cites W2026271329 @default.
• W1814936634 cites W2026306979 @default.
• W1814936634 cites W2027461179 @default.
• W1814936634 cites W2028206292 @default.
• W1814936634 cites W2029631093 @default.
• W1814936634 cites W2034741144 @default.
• W1814936634 cites W2037707893 @default.
• W1814936634 cites W2041528858 @default.
• W1814936634 cites W2042707337 @default.
• W1814936634 cites W2043839893 @default.
• W1814936634 cites W2044504476 @default.
• W1814936634 cites W2046306686 @default.
• W1814936634 cites W2047782501 @default.
• W1814936634 cites W2049888014 @default.
• W1814936634 cites W2053043957 @default.
• W1814936634 cites W2058362465 @default.
• W1814936634 cites W2058637173 @default.
• W1814936634 cites W2060249144 @default.
• W1814936634 cites W2067622824 @default.
• W1814936634 cites W2077215827 @default.
• W1814936634 cites W2077731086 @default.
• W1814936634 cites W2078549607 @default.
• W1814936634 cites W2080040268 @default.
• W1814936634 cites W2080215978 @default.
• W1814936634 cites W2084132413 @default.
• W1814936634 cites W2087432748 @default.
• W1814936634 cites W2087921436 @default.
• W1814936634 cites W2090132603 @default.
• W1814936634 cites W2091401062 @default.
• W1814936634 cites W2091976986 @default.

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