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Whitacre or Quincke needles--does it really matter

A L Eriksson1, B Hallén, M Lagerkranser

  • 1Department of Anaesthesiology and Intensive Care, Karolinska Hospital, Stockholm, Sweden.

Acta Anaesthesiologica Scandinavica. Supplementum
|February 5, 1999
PubMed
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The Whitacre needle is more reliable than the Quincke needle for spinal anesthesia, reducing complications like postdural puncture headache (PDPH) and backache, especially in younger patients.

Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Pain Management

Background:

  • Postdural puncture headache (PDPH) and backache are common complications following spinal anesthesia.
  • The incidence of PDPH is notably higher in younger patient populations (<50 years).

Purpose of the Study:

  • To compare the clinical utility and complication rates of Whitacre and Quincke spinal needles.
  • To evaluate needle performance in reducing PDPH and backache incidence.

Main Methods:

  • A quality control study involving 2598 patients undergoing spinal anesthesia over three years.
  • Data collected via questionnaires and detailed anesthetic records from ~50 anesthesiologists.
  • Focus on 25 G gauge needles, used in over 90% of cases.

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Main Results:

  • The Whitacre needle group showed significantly fewer multiple skin punctures compared to the Quincke group (P < 0.01).
  • Higher rates of insufficient blocks and backache were observed with Quincke needles (P < 0.01 and P < 0.05, respectively).
  • PDPH was more frequent with Quincke needles in patients under 50 years (P < 0.05).

Conclusions:

  • The Whitacre needle demonstrates superior performance and reliability for routine spinal anesthesia.
  • Utilizing the Whitacre needle in younger patients significantly decreases the risk of postdural puncture headache.