How much work is required to puncture dura with Tuohy needles?

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Presentation transcript:

How much work is required to puncture dura with Tuohy needles? M.C. Lewis, J.P. Lafferty, M.S. Sacks, V.S. Pallares, M. TerRiet British Journal of Anaesthesia Volume 85, Issue 2, Pages 238-241 (August 2000) DOI: 10.1093/bja/85.2.238 Copyright © 2000 British Journal of Anaesthesia Terms and Conditions

Fig 1 The dural sample is mounted on a metal platform, and held in position by a neoprene-O-ring. Constant pressure is applied to the subarachnoid surface using a water manometer. The machine advances the needle and is capable of measuring the total distance travelled and the peak force at the point of dural penetration. British Journal of Anaesthesia 2000 85, 238-241DOI: (10.1093/bja/85.2.238) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions

Fig 2 Graph of load (g) (100 g=0.98 N) plotted against time (s). Maximum load is represented by the peak of the graph. Because the tracing is at a speed of 20 mm min−1 one can calculate the maximum dural displacement by measuring the width of the displacement curve (s) and calculating the distance travelled by the needle in that time. Note the abrupt downward swing of the tracing on dural penetration. British Journal of Anaesthesia 2000 85, 238-241DOI: (10.1093/bja/85.2.238) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions