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La cefalea postpunción dural en pediatría


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La punción lumbar (PL) es un procedimiento común en la atención pediátrica de padecimientos neurológicos y oncológicos. Es el procedimiento ideal para obtener muestra de líquido cefalorraquídeo (LCR) para poder realizar un cultivo, y en algunos casos para aplicar tratamiento intratecal.1

Es importante obtener un flujo adecuado de LCR, sin embargo, ante un mayor diámetro de la aguja espinal se incrementa la posibilidad de presentar una complicación postpunción dural.1

En pediatría la principal complicación de la PL es la cefalea postpunción dural (CPPD), la cual se ha limitado y disminuido importantemente con el uso de agujas atraumáticas de punta de lápiz. Además, un calibre menor se asocia también a una menor incidencia de CPPD debido a una menor fuga de LCR. Adicionalmente se ha observado un riesgo dos veces mayor de presentar CPPD en aquellos niños que han sido sometidos a una punción lumbar previa.1

Las agujas Whitacre presentan un perfil de seguridad amplio, con baja presencia de casos de CPPD y de lumbalgia, especialmente si se utilizan los calibres más pequeños posibles de acuerdo a cada paciente pediátrico.1

De clic aquí para conocer más sobre BD Whitacre™

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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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