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Anyone know if 22ga long spinal needles exist as a whitacre? Seeing a lot more big people and I'm thinking I would use them. Currently we only have long 22 ga quincke.
The vast majority of the PDPH calls we get are from the ER after a neurologist did an LP with their barbaric 22g cutting needle.Is a whitacre necessary at that size for PDPH?
In my limited experience, often the problem with the long 25g needles in the super morbid obese population is bending, even if used with an introducer. It would be nice to have a long 22g Whitacre for sure.I haven't seen 22g long whitacres, but there are some 25/27g if you really want one.
Is a whitacre necessary at that size for PDPH?
Long 25s will fit through CSE kit Tuohy needles ... that's a 10 cm introducer.In my limited experience, often the problem with the long 25g needles in the super morbid obese population is bending, even if used with an introducer. It would be nice to have a long 22g Whitacre for sure.
Maybe that's the best solution. The long 25's don't track very true, I think. If you use an epidural first, then put the 25 through that, one might get a more reliable result.Long 25s will fit through CSE kit Tuohy needles ... that's a 10 cm introducer.