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Cefaleia pós-punção dural em pediatria


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A punção lombar (PL) é um procedimento comum no atendimento pediátrico de condições neurológicas e oncológico. É o procedimento ideal para a obtenção de uma amostra de líquido cefalorraquidiano (LCR) para poder realizar uma cultura e, em alguns casos, para aplicar o tratamento intratecal.1

É importante obter um fluxo adequado de LCR, porém, com um diâmetro maior da agulha raquidiana aumenta a possibilidade de apresentar uma complicação pós-punção dural.1

Na pediatria, a principal complicação da PL é a cefaleia pós-punção dural (CPPD), que tem sido limitada e diminuída com o uso de agulhas de ponta de lápis atraumáticas. Além disso, um calibre menor também está associado a uma menor incidência de CPPD devido a menos vazamento de LCR. Além disso, um risco duas vezes maior foi observado de apresentar CPPD nas crianças que foram submetidas a uma punção lombar anterior.1

As agulhas Whitacre têm um amplo perfil de segurança, com baixa presença de casos de CPPD e lombalgia, especialmente se os menores medidores possíveis forem usados de acordo com cada paciente pediátrico.1


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Can be accessed on our Customer Learning Portal. The e-learning courses offer detailed and solution focused training to help better understand how to solve for common scenarios.

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Store Tab

360° rotation knob is effectively sized, contoured and located to enable easy instrument rotation.

360° rotation knob is effectively sized

360° rotation knob is effectively sized

360° rotation knob is effectively sized

More product details

Hospitals and healthcare facilities

BD is a market leader in hospital products that can reduce the incidence of sharps injuries and exposure to bloodborne pathogens. Patient safety has been a focus of BD innovation for years, not only in the United States but also around the world. Working closely with organizations like the International Safety Center (EPINet) is an important part of our efforts to keep patients and workers safe.

Safety syringes and needles >>
Hazardous drug safety >>
Infection prevention >>

Hospitals and healthcare facilities

BD is a market leader in hospital products that can reduce the incidence of sharps injuries and exposure to bloodborne pathogens. Patient safety has been a focus of BD innovation for years, not only in the United States but also around the world. Working closely with organizations like the International Safety Center (EPINet) is an important part of our efforts to keep patients and workers safe.

Safety syringes and needles >>
Hazardous drug safety >>
Infection prevention >>

REFERENCIAS

1. Kokki H, Salonvaara M, Herrgård E, Onen P. Postdural puncture headache is not an age-related symptom in children: a prospective, open-randomized, parallel group study comparing a22-gauge Quincke with a 22-gauge Whitacre needle. Paediatr Anaesth. 1999;9(5):429-34. doi: 10.1046/j.1460-9592.1999.00398.x. PMID: 10447907

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