Alsharif Thamer H, Gronfula Amin G, Turkistani Shifaa, Alshmlany Abdulkarim M, Sharourou Zikra, Aboueleneein Hesham, Alhamied Fawaz
Neurosurgery, Royal College of Surgeons in Ireland, Dublin, IRL.
Orthopaedic Surgery, Royal College of Surgeons in Ireland, Dublin, IRL.
Cureus. 2023 Jun 11;15(6):e40241. doi: 10.7759/cureus.40241. eCollection 2023 Jun.
Needle breakage during spinal anesthesia occurs infrequently and represents a serious complication with potentially adverse effects. The objective of this systemic review was to look at the incidence, risk factors, and preventative measures for broken spinal needles. A search of the literature on PubMed, Web of Science, and Embase databases and a manual web search was performed, with no filters and up to April 2023 from inception. Out of the 43 potential studies, 23 were included. The search terms for the full article reading were broken needle, spinal anesthesia, humans, and post-operative, and the exclusion criteria were systematic reviews, conference presentations, and non-full articles. A review of the 23 studies (24 cases) suggests an association between specific risk factors such as obesity and needle size and breaks. Identifying the risks and complications of needle breaks could help physicians modify their practice and inform their patients of any increased risks applicable to them.
脊髓麻醉期间的断针情况很少发生，是一种具有潜在不良影响的严重并发症。本系统评价的目的是研究脊髓穿刺针折断的发生率、危险因素和预防措施。我们在PubMed、科学网和Embase数据库中检索文献，并进行手动网络搜索，不设筛选条件，涵盖自数据库创建至2023年4月的所有文献。在43项潜在研究中，纳入了23项。全文阅读的检索词为断针、脊髓麻醉、人类和术后，排除标准为系统评价、会议报告和非全文文章。对这23项研究（24例病例）的综述表明，肥胖和针的尺寸等特定危险因素与断针之间存在关联。识别针折断的风险和并发症有助于医生调整其操作，并告知患者任何适用于他们的增加的风险。
