SGEM#34:This is Spinal Tap (Lumbar Punctures)

Studien extrahiert aus dem Podcast von Dr. Ken Milne

• 2006How do I perform a lumbar puncture and analyze the results to diagnose bacterial meningitis?Imaging & DiagnosticsIn adults undergoing diagnostic lumbar puncture, stylet reinsertion reduced headache, while atraumatic needles and bed rest did not, versus standard technique.
• 1999Cranial Computed Tomography Before Lumbar PunctureImaging & DiagnosticsIn 113 adults needing urgent lumbar puncture, clinical examination predicted lesions contraindicating lumbar puncture compared with screening cranial CT.
• 2001Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected MeningitisImaging & DiagnosticsIn 301 adults with suspected meningitis, baseline clinical features, rather than routine CT before lumbar puncture, identified a group with 97% normal scans.
• 2002Posture and fluids for preventing post-dural puncture headacheOtherIn 1723 patients undergoing dural puncture, routine bed rest did not reduce postural headache compared with early mobilisation.