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15 95 CI0. 04-0. 25, p 0. 01 and a better chance of being discharged with an increased probability of 0. 13 95 CI, 0. 02-0. 24, p 0. Following the earthquake, assistance arrived en masse. Government and non-governmental humanitarian aid organizations came from all over the world. It is essential that this assistance can reach the most affected areas which are outside Kathmandu. We independently searched 13 databases without language restrictions from inception to August 15, 2017, for randomized controlled trials RCTs comparing the use of atraumatic and conventional needles for any lumbar puncture indication. We excluded RCTs that compared atraumatic and conventional needles in which no dural puncture was performed epidural injections or that did not have a control group with the standard method. Studies were assessed and data extracted from publications independently.

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