Format

Send to

Choose Destination
See comment in PubMed Commons below
Emerg Radiol. 2004 Feb;10(4):179-81. Epub 2003 Nov 15.

Optimal patient position for lumbar puncture, measured by ultrasonography.

Author information

1
Department of Emergency Medicine, Beth Israel Medical Center, First Avenue and 16th Street, New York, NY 10003, USA. msandova@bethisraelny.org

Abstract

The purpose of this study was to identify the patient position for lumbar puncture associated with the widest interspinous distance utilizing ultrasound. Sixteen healthy adult volunteers were placed in three positions commonly used for lumbar puncture (lateral recumbent with knees to chest, sitting and bent forward over an adjustable bedside stand, and sitting with feet supported and chest to knees) and the distance between lumbar spinous processes was measured by ultrasound. Measurements were compared between the three positions. Differences were analyzed using Tukey's honestly significant difference test. The results showed that the interspinous distance was significantly greater in the "sitting, feet supported" position than in the other two positions ( P<0.001). The "sitting, feet supported" position may offer advantages for selected patients undergoing lumbar puncture. Ultrasonography may be a useful adjunct when performing lumbar puncture in the emergency department.

PMID:
15290485
DOI:
10.1007/s10140-003-0286-3
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Support Center