Tag Lumbar Puncture

Spinal Needle Stylet Hokey Pokey

Spinal Needle Stylet

Certainly, one of the most common procedures in the Ped ED is the lumbar puncture.  We have discussed efforts to ensure that our first attempt is our best attempt: good positioning and analgesia are critical.  We have also discussed how to deal with the…

Bulging Fontanelle

Bulging Fontanelle

We are all very smart people (objectively, this is a true statement).  Sometimes, however, we can outsmart ourselves.  Don’t strain yourself too much to determine how the laws of thermodynamics may have lead a neonate to be febrile; rather, just…

Post Lumbar Puncture Headache

Post Lumbar Puncture Headache

References Bertolotto A1, Malentacchi M2, Capobianco M2, di Sapio A2, Malucchi S2, Motuzova Y2, Pulizzi A3, Berchialla P4, Sperli F2. The use of the 25 Sprotte needle markedly reduces post-dural puncture headache in routine neurological practice. Cephalalgia. 2015 Apr 23.…

Neonatal Analgesia

In general, I try to do things that make my life easier.  Selfish or Brilliant? I’ll let you decide.  But on occasion, choices that we think should make things easier actually can be counterproductive.  A great example of this is…

Traumatic Lumbar Puncture

Lumbar Punctures are commonly done in the Emergency Department and we have discussed several important issues pertaining to them in the past (Positioning, Variance of Analysis based on Age, and Neonatal HSV), but we have yet to discuss the most…