
History of Spinal Needles
History of spinal needles from early lumbar puncture and Quincke cutting bevels to Greene, Whitacre and Sprotte atraumatic designs reducing PDPH.

History of spinal needles from early lumbar puncture and Quincke cutting bevels to Greene, Whitacre and Sprotte atraumatic designs reducing PDPH.

Barnett Alan Greene (1907-1999) American anaesthesiologist. Use of fine-gauge obstetric spinal needles and reducing post-spinal headache.

Herbert Merton Greene (1878-1962), American physician who linked post-lumbar puncture headache to dural trauma and designed the Greene needle

August Karl Gustav Bier (1861-1949) German Surgeon. Used Esmarch tourniquet forming the basis of his eponymous Bier block regional anaesthesia

Post dural puncture headache is a positional headache following lumbar puncture or spinal anaesthesia, managed with analgesia, caffeine, and possibly a blood patch.