RT Book, Section
A1 Colvin, Mai O.
A1 Shiloh, Ariel L.
A1 Eisen, Lewis A.
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136419877
T1 Lumbar Puncture
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1136419877
RD 2024/04/16
AB KEY  POINTSLumbar  puncture  (LP)  is  essential  for  the  diagnosis  of  two  treatable  but  potentially  fatal  conditions,  central  nervous  system  (CNS)  infection  and  subarachnoid  hemorrhage  (SAH)  with  a  negative  computed  tomography  (CT)  scan.LP  can  also  be  helpful  in  the  differential  diagnosis  of  other  conditions  including  CNS  malignancy,  pseudotumor  cerebri,  and  demyelinating  diseases.Contraindications  to  LP  include  skin  or  soft  tissue  infection  at  the  puncture  site,  acute  spinal  cord  or  head  trauma,  uncorrected  severe  coagulopathy,  and  brain  shift  secondary  to  a  space-occupying  lesion  (SOL)  or  diffuse  cerebral  edema.Ultrasound-guided  LPs  reduce  the  risk  of  a  failed  or  traumatic  procedure,  the  number  of  needle  insertions,  and  redirections  compared  to  those  performed  without  imaging.Complications  from  LP  include  brain  herniation,  headache,  infection,  spinal  hematoma,  and  neurologic  compromise.