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Anesth Analg 1977; 56:582-584
© 1977 International Anesthesia Research Society
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Use of the Tuohy Needle in Paramedian Approach for Peridural Block

CLEOMENES BARRETTO, MD*, ROBERT HOOK, MD{dagger}, and CHENG HOCK SEAH, MD{ddagger}

*Attending Anesthesiologist. {dagger}Associate Professor of Anesthesiology and Obstetrics and Gynecology. {ddagger}Assistant Clinical Professor of Anesthesiology and Obstetrics and Gynecology. Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut 06510.

Abstract

IN THE paramedian approach for peridural block, as described by Bonica1 in 1956, an 18-gauge short-beveled needle (Crawford) is inserted laterally to the spinous process in a cephalad direction and approaches the ligamentum flavum in the midline. Use of the Tuohy needle for this approach has not previously been reported. This needle, because of its curved point, appears to have advantages over the Crawford needle, as described following.







Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.