Articles in "Lumbar Puncture"

Risks for Post-Dural Puncture Headaches after Lumbar Puncture

by Joseph Esherick, M.D., FAAFP, FHM

Patients' being in a seated position during the procedure showed a trend to increased frequency of headaches both immediately and 24 hours after puncture. Also, removal of CSF volumes above 30 mL increased the risk of immediate post-procedure headaches.

Bedside Ultrasound Increases the Success Rate for Difficult Lumbar Punctures

by Joseph Esherick, M.D., FAAFP, FHM

The traditional landmark-guided needle lumbar puncture technique was first described by Heinrich Quincke in 1891 This technique utilizes the...

Atraumatic Spinal Needles Significantly Decrease the Risk of Post-Dural Puncture Headaches or Spinal Headaches

by Joseph Esherick, M.D., FAAFP, FHM

Atraumatic spinal needles reduce the incidence and severity of post-dural puncture headaches, or spinal headaches, compared with traumatic spinal needles.

Essential to Administer Antibiotics Immediately if Bacterial Meningitis is Suspected

by Joseph Esherick, M.D., FAAFP, FHM

The amendment of the Swedish guidelines to remove impaired mental status as a contraindication for lumbar punctures without prior CT scan led to more favorable outcomes.

Lumbar puncture characteristics of traumatic LP versus subarachnoid hemorrhage

by Joseph Esherick, M.D., FAAFP, FHM

The combination of a red blood cell count less than 2000 × 106/L and no xanthochromia is sufficient to rule out aneurysmal SAH in patients with traumatic lumbar punctures.

Performing Procedures on Patients Who Take Dabigatran, Rivaroxaban, and Apixaban

by Joseph Esherick, M.D., FAAFP, FHM

The drawback to these new oral anticoagulants is that there is no true antidote that can reverse the anticoagulant activity in the event that a patient develops a major hemorrhage or if they require emergency surgery or have a need for an invasive bedside procedure.