{"id":"https://openalex.org/W5459775","doi":"https://doi.org/10.1177/0310057x1103900215","title":"Responses to Dural Puncture during Institution of Combined Spinal-Epidural Analgesia: A Comparison of 27 Gauge Pencil-Point and 27 Gauge Cutting-Edge Needles","display_name":"Responses to Dural Puncture during Institution of Combined Spinal-Epidural Analgesia: A Comparison of 27 Gauge Pencil-Point and 27 Gauge Cutting-Edge Needles","publication_year":2011,"publication_date":"2011-03-01","ids":{"openalex":"https://openalex.org/W5459775","doi":"https://doi.org/10.1177/0310057x1103900215","mag":"5459775","pmid":"https://pubmed.ncbi.nlm.nih.gov/21485674"},"language":"en","primary_location":{"id":"doi:10.1177/0310057x1103900215","doi":"https://doi.org/10.1177/0310057x1103900215","is_oa":true,"landing_page_url":"https://doi.org/10.1177/0310057x1103900215","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/0310057X1103900215","source":{"id":"https://openalex.org/S109940108","display_name":"Anaesthesia and Intensive Care","issn_l":"0310-057X","issn":["0310-057X","1448-0271"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia and Intensive Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/0310057X1103900215","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068685613","display_name":"Anton A. van den Berg","orcid":"https://orcid.org/0000-0001-7143-762X","observed_orcids":["https://orcid.org/0000-0001-7143-762X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"A. A. van den Berg","raw_affiliation_strings":["Department of Anesthesiology, University of Texas, Houston, Texas, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, University of Texas, Houston, Texas, United States of America","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040291527","display_name":"Sharad Balasaheb Ghatge","orcid":"https://orcid.org/0000-0002-4687-7380","observed_orcids":["https://orcid.org/0000-0002-4687-7380"]},"institutions":[{"id":"https://openalex.org/I2800392559","display_name":"Royal Stoke University Hospital","ror":"https://ror.org/01dx1mr58","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800115762","https://openalex.org/I2800392559"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"S. Ghatge","raw_affiliation_strings":["Consultant Anaesthetist, Department of Anaesthetics, University Hospital of North Staffordshire, Hartshill, Stoke on Trent, Staffordshire, England","Department of Anesthesiology, University of Texas, Houston, Texas, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Anaesthetist, Department of Anaesthetics, University Hospital of North Staffordshire, Hartshill, Stoke on Trent, Staffordshire, England","institution_ids":["https://openalex.org/I2800392559"]},{"raw_affiliation_string":"Department of Anesthesiology, University of Texas, Houston, Texas, United States of America","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057866789","display_name":"Gus Armendariz","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G. Armendariz","raw_affiliation_strings":["Department of Anesthesiology, University of Texas, Houston, Texas, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, University of Texas, Houston, Texas, United States of America","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"D. Cornelius","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D. Cornelius","raw_affiliation_strings":["Department of Anesthesiology, University of Texas, Houston, Texas, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, University of Texas, Houston, Texas, United States of America","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066444643","display_name":"Shaofei Wang","orcid":"https://orcid.org/0000-0003-2697-5335","observed_orcids":["https://orcid.org/0000-0003-2697-5335"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S. Wang","raw_affiliation_strings":["Department of Anesthesiology, University of Texas, Houston, Texas, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, University of Texas, Houston, Texas, United States of America","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5068685613"],"corresponding_institution_ids":[],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":1.247,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.78946136,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"39","issue":"2","first_page":"247","last_page":"251"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dural-puncture","display_name":"dural puncture","score":0.9700000286102295},{"id":"https://openalex.org/keywords/combined-spinal-epidural-analgesia","display_name":"combined spinal-epidural analgesia","score":0.9620000123977661},{"id":"https://openalex.org/keywords/labor-analgesia","display_name":"labor analgesia","score":0.9789999723434448},{"id":"https://openalex.org/keywords/27-gauge-needle","display_name":"27-gauge needle","score":0.6359999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9339478611946106},{"id":"https://openalex.org/C2777439173","wikidata":"https://www.wikidata.org/wiki/Q1810609","display_name":"Post-dural-puncture headache","level":3,"score":0.7705639600753784},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.5531628131866455},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5165539979934692},{"id":"https://openalex.org/C2776279924","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean section","level":3,"score":0.45896247029304504},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.45811811089515686},{"id":"https://openalex.org/C2992886682","wikidata":"https://www.wikidata.org/wiki/Q282736","display_name":"Spinal anesthesia","level":2,"score":0.4523780941963196},{"id":"https://openalex.org/C2777397205","wikidata":"https://www.wikidata.org/wiki/Q275792","display_name":"Saline","level":2,"score":0.4220351576805115},{"id":"https://openalex.org/C134949993","wikidata":"https://www.wikidata.org/wiki/Q2068617","display_name":"Pencil (optics)","level":2,"score":0.4155590534210205},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.24142757058143616},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000775","descriptor_name":"Anesthesia, Spinal","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D002585","descriptor_name":"Cesarean Section","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007743","descriptor_name":"Labor, Obstetric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009339","descriptor_name":"Needles","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":false},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D015360","descriptor_name":"Analgesia, Epidural","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016362","descriptor_name":"Analgesia, Obstetrical","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/0310057x1103900215","doi":"https://doi.org/10.1177/0310057x1103900215","is_oa":true,"landing_page_url":"https://doi.org/10.1177/0310057x1103900215","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/0310057X1103900215","source":{"id":"https://openalex.org/S109940108","display_name":"Anaesthesia and Intensive Care","issn_l":"0310-057X","issn":["0310-057X","1448-0271"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia and Intensive Care","raw_type":"journal-article"},{"id":"pmid:21485674","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21485674","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia and intensive care","raw_type":"Comparative Study"}],"best_oa_location":{"id":"doi:10.1177/0310057x1103900215","doi":"https://doi.org/10.1177/0310057x1103900215","is_oa":true,"landing_page_url":"https://doi.org/10.1177/0310057x1103900215","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/0310057X1103900215","source":{"id":"https://openalex.org/S109940108","display_name":"Anaesthesia and Intensive Care","issn_l":"0310-057X","issn":["0310-057X","1448-0271"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia and Intensive Care","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W5459775.pdf","grobid_xml":"https://content.openalex.org/works/W5459775.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W250436873","https://openalex.org/W1508540023","https://openalex.org/W1970704430","https://openalex.org/W1979766440","https://openalex.org/W1983240755","https://openalex.org/W2032459598","https://openalex.org/W2041004601","https://openalex.org/W2050622133","https://openalex.org/W2063842195","https://openalex.org/W2091401062","https://openalex.org/W2093017723","https://openalex.org/W2093223997","https://openalex.org/W2095270196","https://openalex.org/W2159343916","https://openalex.org/W2791410075","https://openalex.org/W4238849048"],"related_works":["https://openalex.org/W2050622133","https://openalex.org/W2022943201","https://openalex.org/W4306846727","https://openalex.org/W3030840570","https://openalex.org/W7165207107","https://openalex.org/W2091401062","https://openalex.org/W2178491146","https://openalex.org/W4395462280","https://openalex.org/W2005000674","https://openalex.org/W1966279192"],"abstract_inverted_index":{"Pencil-point":[0],"spinal":[1,18],"needles":[2,52,169,186],"are":[3],"popular":[4],"for":[5,62],"combined":[6,39,253],"spinal-epidural":[7,40,254],"analgesia":[8,68,255],"because":[9],"they":[10],"cause":[11],"less":[12],"dural":[13,32,44,109],"puncture":[14,33,45,240],"headache":[15],"than":[16,260],"cutting-edge":[17,51,94,185,264],"needles.":[19],"However":[20],"many":[21],"parturients":[22,60,214],"move,":[23],"grimace,":[24],"vocalise":[25],"or":[26,29,66,95,117],"experience":[27],"paraesthesia":[28],"dysaesthesia":[30],"during":[31,161],"when":[34,234,251],"performing":[35],"'needle":[36,102,248],"through":[37,103,105,249],"needle'":[38,104,250],"analgesia.":[41],"We":[42],"compared":[43],"responses":[46,229,259],"induced":[47,187],"by":[48,121,138,208,241],"pencil-point":[49,98,168,183,245],"and":[50,89,159,173,184,189,194,202,205,211,223,226],"(both":[53],"27":[54,92,96,243,262],"gauge).":[55],"With":[56],"institutional":[57],"approval,":[58],"115":[59],"presenting":[61],"elective":[63],"caesarean":[64],"section":[65],"labour":[67,152],"were":[69],"audited.":[70],"After":[71],"lignocaine":[72],"infiltration,":[73],"a":[74,86,91,122,242,261],"Tuohy-type":[75],"needle":[76,99,246],"was":[77,100,119,126,206],"inserted":[78,101,247],"to":[79,83,130],"loss":[80],"of":[81,113,147],"resistance":[82],"saline":[84],"at":[85],"mid-lumbar":[87],"interspace,":[88],"either":[90],"gauge":[93,97,244,263],"the":[106,111,127,131,139],"dura.":[107],"During":[108],"penetration,":[110],"occurrence":[112],"patient":[114,228],"movement,":[115],"grimacing":[116,158,188],"vocalisation":[118,198],"noted":[120],"blinded":[123],"observer,":[124],"as":[125],"patient's":[128],"response":[129],"question":[132],"\"Did":[133],"you":[134],"feel":[135],"that?\"":[136],"asked":[137],"anaesthetist.":[140],"The":[141],"audit":[142],"comprised":[143],"two":[144],"similar":[145],"groups":[146],"patients":[148],"(caesarean":[149],"section,":[150],"n=30;":[151],"analgesia,":[153],"n=85).":[154],"In":[155],"both":[156],"groups,":[157],"movement":[160,190],"thecal":[162],"penetration":[163],"occurred":[164,233],"more":[165,257],"frequently":[166],"with":[167],"(P":[170,215,230],"<":[171,175,216,231],"0.05":[172],"P":[174],"0.025,":[176,217],"respectively).":[177],"Pooled":[178],"data":[179],"analysis":[180],"revealed":[181],"that":[182],"in":[191,199],"17":[192],"(22%)":[193],"2":[195],"(5%),":[196],"spontaneous":[197],"4":[200],"(5%)":[201],"1":[203],"(3%)":[204],"perceived":[207],"13":[209],"(17%)":[210],"3":[212],"(8%)":[213],"P=NS,":[218],"P=NS),":[219],"respectively.":[220,238],"Overall,":[221],"34":[222],"6":[224],"objective":[225],"subjective":[227],"0.005)":[232],"inserting":[235],"these":[236],"needles,":[237],"Dural":[239],"instituting":[252],"induces":[256],"iatrogenic":[258],"needle.":[265]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}