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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
Chapter 143B. Pediatric Procedures: Lumbar Puncture in Children
Sections: Pediatric Procedures: Lumbar Puncture in Children: Introduction, Patient Preparation, Position, Lumbar Puncture Technique, Failed Attempts, References.
Topics Discussed: diagnostic spinal puncture; therapeutic spinal puncture.
Excerpt:"The usual goal of lumbar puncture (LP) in children is to obtain
cerebrospinal fluid (CSF) to test for markers of infection. Measuring
opening pressure is not necessary, and therefore the procedure is
straightforward. The condition of children with hypoxemia, respiratory
distress, hypotension, and tachycardia may deteriorate when they
are positioned for LP, so resuscitation and empiric administration
of IV antibiotics is needed prior to LP. In children with
thrombocytopenia or factor deficiencies, replace platelets or factor
before attempting LP...."
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