AIM: To assess the utility of bedside ultrasound performed by an emergency physician in adults undergoing diagnostic lumbar puncture. METHOD: Ultrasound was used as the primary means of determining the site of skin puncture, angle of needle advancement and depth needed to access the subarachnoid space. RESULTS: Cerebrospinal fluid was obtained from 36 of 39 patients (92.3%) in the first interspinous space attempted. CONCLUSIONS: The ultrasonographically measured depth of the dura mater correlates strongly with the final needle depth.
AIM: To assess the utility of bedside ultrasound performed by an emergency physician in adults undergoing diagnostic lumbar puncture. METHOD: Ultrasound was used as the primary means of determining the site of skin puncture, angle of needle advancement and depth needed to access the subarachnoid space. RESULTS: Cerebrospinal fluid was obtained from 36 of 39 patients (92.3%) in the first interspinous space attempted. CONCLUSIONS: The ultrasonographically measured depth of the dura mater correlates strongly with the final needle depth.
Authors: Jennifer R Marin; Alyssa M Abo; Alexander C Arroyo; Stephanie J Doniger; Jason W Fischer; Rachel Rempell; Brandi Gary; James F Holmes; David O Kessler; Samuel H F Lam; Marla C Levine; Jason A Levy; Alice Murray; Lorraine Ng; Vicki E Noble; Daniela Ramirez-Schrempp; David C Riley; Turandot Saul; Vaishali Shah; Adam B Sivitz; Ee Tein Tay; David Teng; Lindsey Chaudoin; James W Tsung; Rebecca L Vieira; Yaffa M Vitberg; Resa E Lewiss Journal: Crit Ultrasound J Date: 2016-11-03