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Neurosonology in Critical Care pp 937–948Cite as

Point-of-Care Ultrasound: Guidance for Lumbar Puncture

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Abstract

Ultrasound guidance is considered to be a best practice for many ICU procedures. While less commonly used to assist with lumbar puncture, certain patients, particularly those with poorly palpable lumbar landmarks or failed attempts, can benefit from anatomical localization with ultrasound. Use of bedside ultrasound to identify an ideal location for needle entry may prevent repeated attempts and reduce procedural complications. A simplified two-step ultrasound approach that maps the correct lumbar interspinous space and the true anatomic midline can make a blind procedure safer and more successful.

Keywords

  • Ultrasound
  • Lumbar puncture
  • Ultrasound guidance
  • Imaging
  • Point-of-care

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Author information

Authors and Affiliations

  1. Intensive Care Medicine, Hospital Nacional Prof. Dr. A. Posadas, University of Buenos Aires (UBA), Neurointensive Care Section - ESICM, Neurointensive Care Section - AMCI, Neurointensive Care Committee - FEPIMCTI, Member of ESNCH, Buenos Aires, Argentina

    Camilo N. Rodríguez

  2. Division of Emergency Ultrasound, Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Tiffany Fong

Authors
  1. Camilo N. Rodríguez
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  2. Tiffany Fong
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Corresponding author

Correspondence to Camilo N. Rodríguez .

Editor information

Editors and Affiliations

  1. Department of Critical Care, University of Buenos Aires, Buenos Aires, Argentina

    MD Camilo N. Rodríguez

  2. Stroke Unit & Neurosonology Lab, University of Padua School of Medicine, Padova, Italy

    Claudio Baracchini

  3. Department of Critical Care and Anesthesiology, Fundación Valle del Lili, Cali, Colombia

    MD Jorge H. Mejia-Mantilla

  4. Department of Clinical Neurosciences Cambridge Biomedical Campus, University of Cambridge, Cambridge, UK

    Prof. Marek Czosnyka

  5. Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Dr. Jose I Suarez

  6. President of Hungarian Neurological Society, Department of Neurology, Clinical Center Debrecen University, Debrecen, Hungary

    Prof. László Csiba

  7. Intensive Care Unit, Clinics Hospital, Universidad de la Republica School of Medicine, Montevideo, Uruguay

    MD Corina Puppo

  8. Center for Neurological Vascular Diagnostics, Munich, Germany

    Prof. Dr. Eva Bartels

Algorithm

Algorithm

figure a

CSF Cerebral spinal fluid, CT Computed tomography, MRI Magnetic resonance image, ABCD Airway, breath, circulation, disability, US Ultrasound, LMWH Low molecular weight heparin, NOAC New oral antocoagulant

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Rodríguez, C.N., Fong, T. (2022). Point-of-Care Ultrasound: Guidance for Lumbar Puncture. In: , et al. Neurosonology in Critical Care . Springer, Cham. https://doi.org/10.1007/978-3-030-81419-9_58

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  • DOI: https://doi.org/10.1007/978-3-030-81419-9_58

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  • Publisher Name: Springer, Cham

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