The NPH protocol at Mount Carmel East Hospital details the assessment of specific outcome measures prior to and after lumbar puncture
. The results of W.W.'s tests are presented in Table 2.
Reference values for laboratory investigations Blood test Values considered abnormal enough to contribute towards psychotic symptoms Sodium <125 or >160 mmol/l (16-18) Creatinine >200 [micro]mol/l White cell count <4 or >15 x [10.sup.9/l (8) Lumbar puncture
Any polymorphs/[micro]l >3 lymphocytes/[micro]l Protein >0.45 g/l Positive Gram stain/India ink stain/syphilis serology positive HIV rapid test Positive Syphilis serology Positive (rapid plasma reagin) Thyroid-stimulating hormone 0.27-4.20 mIU/l Table II.
Paramedian lumbar puncture
for spinal anesthesia in the elderly.
But her family fear it was a second lumbar puncture
, at the Southern General, which left her paralysed.
(2.) Shah KH, et at., Incidence of traumatic lumbar puncture
. Acad Emerg Med.
Anaesthesia was scheduled to allow clinicians to perform bilateral bone marrow aspirates and biopsies, and a lumbar puncture
for cytology and biochemistry.
An evidence-based guideline developed at Cincinnati Children's Hospital Medical Center in 1998 recommends hospitalization and a rill sepsis workup (including lumbar puncture
) for infants aged <1 month, or infants aged 1 to 2 months who are high-risk.
A blood test, if it's sensitive enough in the early stages, will be better than a lumbar puncture
, but still an ordeal, and if an antibiotic is needed, it should be given immediately, without waiting for the result.
The lumbar puncture
showed pus in the cerebrospinal fluid.
"Delays in getting a lumbar puncture
and unnecessary treatment with antivirals were associated with longer hospital stays."
The majority of participants agreed that the skills were relevant to their residency programme as follows: airway management 15(93.8%), lumbar puncture
14(87.5%), intubation 14(87.5%), bone marrow aspiration 10(62.5%), chest tube insertion 10(62.5%), pleural tap 10(62.5%), central line insertion 11(68.8%) and arthrocentesis 9(56.3%).
(5) Lumbar puncture
was performed through the L2-3, L3-4 or L4-5 intervertebral space with the patient in a lateral position.