This video will demonstrate safe and successful methods of performing lumbar puncture. Lumbar puncture is indicated for both diagnostic and therapeutic purposes. Also, the administration of spinal and epidural anesthesia involves the use essentially of the same technique. Analysis of cerebrospinal fluid may be helpful in the diagnosis of infectious processes such as meningitis, inflammatory diseases such as multiple sclerosis, cancers such as leukemia, and metabolic processes. Therapeutically, lumbar puncture allows for the intrathecal administration of chemotherapeutic agents and antibiotics. There are specific contraindications to lumbar puncture. The condition of patients with cardiorespiratory compromise may worsen as a consequence of . . . .
Chapters:
Introduction
Overview
Gather the Equipment
Positioning
Preparation
Needle Insertion
Opening Pressure
Specimen Collection
Challenges
Complications
References
Marton KI, Gean AD. The spinal tap: a new look at an old test. Ann Intern Med 1986;104:840-848. [Free Full Text]
Riordan FA, Cant AJ. When to do a lumbar puncture. Arch Dis Child 2002;87:235-237. [Free Full Text]
Strupp M, Schueler O, Straube A, Von Stuckrad-Barre S, Brandt T. "Atraumatic" Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 2001;57:2310-2312. [Free Full Text]
Carlson D, DiGiulio GA, Givens TG, et al. Lumbar puncture. In: Fleisher GR, Ludwig S, Henretig F, eds. Textbook of pediatric emergency medicine. 5th ed. Baltimore: Lippincott Williams & Wilkins, 2006:1882-3.
Boon JM, Abrahams PH, Meiring JH, Welch T. Lumbar puncture: anatomical review of a clinical skill. Clin Anat 2004;17:544-553. [CrossRef][Web of Science][Medline]
Related Letters:
Lumbar Puncture
Agrawal D., Silver B., Ellenby M. S., Tegtmeyer K., Braner D. A.V.
Extract |
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N Engl J Med 2007;
356:424-425, Jan 25, 2007.
Correspondence
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