Incidence of traumatic lumbar puncture: experience of a large, tertiary care pediatric hospital.
Clin Pediatr (Phila)
; 50(11): 1005-9, 2011 Nov.
Article
in En
| MEDLINE
| ID: mdl-21622691
ABSTRACT
The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors' institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. A total of 127 CSF were recorded over 1 year. The incidence of a traumatic LP was 27/103 (26.2%) using the sitting position and 3/24 (12.5%) in infants and children using the lying position. In total, 33 (26%) CSF samples had 0 RBCs. The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P = .0074). Incidence of traumatic LP was independent of physicians' experience, sedation use or time of procedure, suggesting an intrinsic factor as the cause of traumatic LPs.
Full text:
1
Database:
MEDLINE
Main subject:
Spinal Puncture
/
Cerebrospinal Fluid
/
Erythrocyte Count
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
Language:
En
Year:
2011
Type:
Article