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9 de ene. de 2024 · Lumbar puncture (LP) with examination of cerebrospinal fluid (CSF) is an important diagnostic tool for a variety of infectious and noninfectious neurologic conditions. The indications, contraindications, technique, and complications of LP in adults will be reviewed here. Techniques of LP in children and of spinal and other types of neuraxial ...
Positioning for Lumbar Puncture. The goal is to flex the lumbar spine to expand the intervertebral spaces. The patient may either lie in the lateral decubitus position or be seated. The lateral decubitus position is generally preferred and should be used if CSF manometry is desired.
20 de mar. de 2024 · Contraindications. severe bleeding disorders, extreme thrombocytopenia 8. suspected epidural abscess or soft tissue infection at the puncture site or expected needle course 8 (congenital) deformation 8 of or trauma to the lumbar vertebrae. brain tumor, abscess, or other lesions that cause elevated intracranial pressure. Chiari malformation 8 ...
腰椎穿刺(lumbar puncture, LP)检查脑脊液(cerebrospinal fluid, CSF)是诊断多种感染和非感染性神经系统疾病的重要工具。 本专题将讨论成人腰椎穿刺的技术、适应证、禁忌证和并发症，另有专题讨论儿童腰椎穿刺的技术，以及腰麻和其他椎管内麻醉技术。
Lumbar puncture procedure. For the procedure, the patient is typically in the left lateral decubitus position. A cooperative patient is asked to hug the knees and curl up as tightly as possible. Assistants may have to hold patients who cannot maintain this position, or the spine may be flexed better by having patients, particularly obese ...
Lumbar Puncture 3. • Draw up lidocaine. Use the shorter, smaller needle to numb the skin and subcutaneous tissue. Numb in different angles around the chosen site. Hub this shorter needle while numbing. Use between 2-3 cc of lidocaine for this. Then switch to the longer, larger gauge needle to numb the deeper subcutaneous tissues.
A lumbar puncture (LP) should only be performed after a thorough neurological examination and once all contraindications have been considered. Performing LP should never delay life-saving interventions such as antibiotics. A normal CT scan does not exclude raised intracranial pressure. Careful preparation, adequate analgesia and an experienced ...
