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Related Experiment Videos

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
Summary

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.

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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.