A pediatric patient was admitted to outpatient unit for a lumbar puncture and intrathecal chemotherapy.The physician was using a spinocan spinal needle, 22g x 3.5".The physician was unable to get the needle into the epidural space and the needle bent.He attempted with another needle, same gauge and again the needle bent.The physician complained the needles were too flimsy and they would not support the syringe for intrathecal chemotherapy if he were to get into the epidural space successfully.The physician then switched to a larger gauge 20g x 3.5." he does not prefer the larger gauge due to loss of extra cerebrospinal fluid which can cause negative side effects for the patient.This was successful.
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