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History and significance of lumbar puncture


1890
    Lumbar puncture has become an established part of neurological diagnosis since the invention of the Quincke cannula.


1979
    Market launch of the PAJUNK ® SPROTTE® cannula, the first atraumatic cannula.


1991
    The first controlled study is carried out by Jäger et al., and clearly confirms the superiority of atraumatic puncture. 1) Headaches are ten times less common than with conventional cannulas. All other symptoms of post-lumbar puncture syndrome are not observed at all anymore.


2005
    The American Academy of Neurology (AAN): the benefits of atraumatic puncture of the fluid space are not only for spinal anaesthesia but also for diagnostic lumbar puncture. 2)
Evidence class 1, recommendation grade A


2010
    Conclusion of Lavi et al. in the light of ample evidence in clinical studies: “Lumbar Puncture: It is time to change the needle.” 3)


2012
    Atraumatic cannulas are also recommendable from an economic point of view
significantly lower rates of side-effects and complications and shorter convalescence times
the potential savings are enormous once the process and treatment costs are taken into account alongside the purchase costs. 4)


1) Jäger H., Schimrigk K., Haaß A. Das postpunktionelle Syndrom – selten bei der Verwendung der Punktionsnadel nach SPROTTE, Akt Neurol. 1991 April; 18: 61-64

2) Evans R.W., Armon C., Frohman E.M., Goodin D.S. Assessment: prevention of post-lumbar puncture headaches. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurol., Neurol. 2009; 55:909-914

3) Lavi R., Rowe J. M., Avivi I. Lumbar Puncture: It Is Time to Change the Needle, Eur. Neurol. 2010; 64: 108-113

4) Tung C.E., So Y.T., Lansberg M.G. Cost comparison between the atraumatic and cutting lumbar puncture needles, Neurol. 2012 Jan. 10; 78(2): 109-113

 
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