How to use… lumbar puncture in children.

Arch Dis Child Educ Pract Ed

Department of Paediatric Neurology, Bristol Royal Hospital for Children, Bristol, UK.

Published: October 2015

AI Article Synopsis

  • Lumbar puncture (LP) is an important diagnostic procedure in children, commonly used to check for serious conditions like intracranial infections in febrile patients.
  • Success rates can improve with proper patient positioning, technique, and the operator's experience.
  • The review will cover indications and contraindications for LP, necessary anatomical knowledge, potential complications and their management, and guidelines for cerebrospinal fluid studies and result interpretation.

Article Abstract

Lumbar puncture (LP) is a useful diagnostic tool in a wide spectrum of paediatric clinical situations. A common indication is to rule out a serious intracranial infection in a febrile child. Success rate can be optimised by proper positioning, appropriate technique and enhanced operator's skill in performing the procedure. The purpose of this review is to explore the indications and contraindications for performing paediatric LP, to describe the anatomical and physiological knowledge required to maximise success rates and to describe complications and their management. We will also provide advice on requesting various cerebrospinal fluid studies, interpretation of results and clinical situations in which LP may be indicated.

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Source
http://dx.doi.org/10.1136/archdischild-2014-307600DOI Listing

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