Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline

Bram Rochwerg; Saleh A Almenawer; Reed A C Siemieniuk; Per Olav Vandvik; Thomas Agoritsas; Lyubov Lytvyn; Waleed Alhazzani; Patrick Archambault; Frederick D'Aragon; Pauline Darbellay Farhoumand; Gordon Guyatt; Jon Henrik Laake; Claudia Beltrán-Arroyave; Victoria McCredie; Amy Price; Christian Chabot; Tracy Zervakis; Jetan Badhiwala; Maude St-Onge; Wojciech Szczeklik; Morten Hylander Møller; Francois Lamontagne

doi:10.1136/bmj.k1920

Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline

Bram Rochwerg, Saleh A Almenawer, Reed A C Siemieniuk, Per Olav Vandvik, Thomas Agoritsas, Lyubov Lytvyn, Waleed Alhazzani, Patrick Archambault, Frederick D'Aragon, Pauline Darbellay Farhoumand, Gordon Guyatt, Jon Henrik Laake, Claudia Beltrán-Arroyave, Victoria McCredie, Amy Price, Christian Chabot, Tracy Zervakis, Jetan Badhiwala, Maude St-Onge, Wojciech SzczeklikMorten Hylander Møller, Francois Lamontagne

Institut for Klinisk Medicin

11 Citationer (Scopus)

21 Downloads (Pure)

Abstract

Is the needle tip configuration important when performing a lumbar puncture for any indication? A systematic review published in the Lancet in December 2017 suggests that it is. The review found that using atraumatic (pencil-point) lumbar puncture needles instead of conventional lumbar puncture needles reduced the risk of post-dural-puncture headache and of return to hospital for additional pain control.¹ This guideline recommendation aims to promptly and transparently translate this evidence to a clinical recommendation, following standards for GRADE methodology and trustworthy guidelines.² The BMJ Rapid Recommendations panel makes a strong recommendation for the use of atraumatic needles for lumbar puncture in all patients regardless of age (adults and children) or indication instead of conventional needles.^{3 4} Box 1 shows the article and evidence linked to this Rapid Recommendation. The main infographic provides an overview of the absolute benefits and harms (although none were present here) of atraumatic needles. Table 1 below shows any evidence that has emerged since the publication of this guideline.

Originalsprog	Engelsk
Artikelnummer	k1920
Tidsskrift	BMJ (Clinical research ed.)
Vol/bind	361
Sider (fra-til)	1-6
Antal sider	6
ISSN	0959-8146
DOI	https://doi.org/10.1136/bmj.k1920
Status	Udgivet - 2018

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10.1136/bmj.k1920Licens: CC BY-NC

Atraumatic (pencil-point) versus conventional needles for lumbar punctureForlagets udgivne version, 758 KBLicens: CC BY-NC

Citationsformater

Rochwerg, B., Almenawer, S. A., Siemieniuk, R. A. C., Vandvik, P. O., Agoritsas, T., Lytvyn, L., Alhazzani, W., Archambault, P., D'Aragon, F., Farhoumand, P. D., Guyatt, G., Laake, J. H., Beltrán-Arroyave, C., McCredie, V., Price, A., Chabot, C., Zervakis, T., Badhiwala, J., St-Onge, M., ... Lamontagne, F. (2018). Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline. BMJ (Clinical research ed.), 361, 1-6. Artikel k1920. https://doi.org/10.1136/bmj.k1920

Rochwerg, B, Almenawer, SA, Siemieniuk, RAC, Vandvik, PO, Agoritsas, T, Lytvyn, L, Alhazzani, W, Archambault, P, D'Aragon, F, Farhoumand, PD, Guyatt, G, Laake, JH, Beltrán-Arroyave, C, McCredie, V, Price, A, Chabot, C, Zervakis, T, Badhiwala, J, St-Onge, M, Szczeklik, W, Møller, MH & Lamontagne, F 2018, 'Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline', BMJ (Clinical research ed.), bind 361, k1920, s. 1-6. https://doi.org/10.1136/bmj.k1920

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abstract = "Is the needle tip configuration important when performing a lumbar puncture for any indication? A systematic review published in the Lancet in December 2017 suggests that it is. The review found that using atraumatic (pencil-point) lumbar puncture needles instead of conventional lumbar puncture needles reduced the risk of post-dural-puncture headache and of return to hospital for additional pain control.1 This guideline recommendation aims to promptly and transparently translate this evidence to a clinical recommendation, following standards for GRADE methodology and trustworthy guidelines.2 The BMJ Rapid Recommendations panel makes a strong recommendation for the use of atraumatic needles for lumbar puncture in all patients regardless of age (adults and children) or indication instead of conventional needles.3 4 Box 1 shows the article and evidence linked to this Rapid Recommendation. The main infographic provides an overview of the absolute benefits and harms (although none were present here) of atraumatic needles. Table 1 below shows any evidence that has emerged since the publication of this guideline.",

keywords = "Cost-Benefit Analysis, Equipment Design/economics, Humans, Needles/economics, Post-Dural Puncture Headache/prevention & control, Spinal Puncture/adverse effects",

author = "Bram Rochwerg and Almenawer, {Saleh A} and Siemieniuk, {Reed A C} and Vandvik, {Per Olav} and Thomas Agoritsas and Lyubov Lytvyn and Waleed Alhazzani and Patrick Archambault and Frederick D'Aragon and Farhoumand, {Pauline Darbellay} and Gordon Guyatt and Laake, {Jon Henrik} and Claudia Beltr{\'a}n-Arroyave and Victoria McCredie and Amy Price and Christian Chabot and Tracy Zervakis and Jetan Badhiwala and Maude St-Onge and Wojciech Szczeklik and M{\o}ller, {Morten Hylander} and Francois Lamontagne",

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journal = "BMJ (Clinical research ed.)",

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AU - Almenawer, Saleh A

AU - Siemieniuk, Reed A C

AU - Vandvik, Per Olav

AU - Agoritsas, Thomas

AU - Lytvyn, Lyubov

AU - Alhazzani, Waleed

AU - Archambault, Patrick

AU - D'Aragon, Frederick

AU - Farhoumand, Pauline Darbellay

AU - Guyatt, Gordon

AU - Laake, Jon Henrik

AU - Beltrán-Arroyave, Claudia

AU - McCredie, Victoria

AU - Price, Amy

AU - Chabot, Christian

AU - Zervakis, Tracy

AU - Badhiwala, Jetan

AU - St-Onge, Maude

AU - Szczeklik, Wojciech

AU - Møller, Morten Hylander

AU - Lamontagne, Francois

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AB - Is the needle tip configuration important when performing a lumbar puncture for any indication? A systematic review published in the Lancet in December 2017 suggests that it is. The review found that using atraumatic (pencil-point) lumbar puncture needles instead of conventional lumbar puncture needles reduced the risk of post-dural-puncture headache and of return to hospital for additional pain control.1 This guideline recommendation aims to promptly and transparently translate this evidence to a clinical recommendation, following standards for GRADE methodology and trustworthy guidelines.2 The BMJ Rapid Recommendations panel makes a strong recommendation for the use of atraumatic needles for lumbar puncture in all patients regardless of age (adults and children) or indication instead of conventional needles.3 4 Box 1 shows the article and evidence linked to this Rapid Recommendation. The main infographic provides an overview of the absolute benefits and harms (although none were present here) of atraumatic needles. Table 1 below shows any evidence that has emerged since the publication of this guideline.

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KW - Equipment Design/economics

KW - Humans

KW - Needles/economics

KW - Post-Dural Puncture Headache/prevention & control

KW - Spinal Puncture/adverse effects

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Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline

Abstract

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