Proper training and use of ultrasonography facilitates lumbar puncture
- PMID: 29262853
- PMCID: PMC5738895
- DOI: 10.1186/s13049-017-0466-x
Proper training and use of ultrasonography facilitates lumbar puncture
Abstract
With great interest, we read the study of Line Dussourd et al. concluding that ultrasonography allows better identification of anatomical structures before performing a lumbar puncture. We cannot concur with the conclusions of the study because the authors did not visualize the conus medullaris directly, nor did they assess the individual intervertebral levels. In our commentary, we make some suggestions for improvement using ultrasound to locate the optimal site for a lumbar puncture. We do agree that neuraxial ultrasound is of great benefit for the performance of lumbar punctures. Proper training and applying the correct technique, however, is necessary for obtaining all benefits ultrasonography offers.
Keywords: Emergency medicine; Emergency service, Hospital; Spinal puncture; Ultrasonography.
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The authors declare that they have no competing interests.
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Comment on
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Ultrasonography helps emergency physician identify the best lumbar puncture site under the conus medullaris.Scand J Trauma Resusc Emerg Med. 2017 Jun 27;25(1):60. doi: 10.1186/s13049-017-0406-9. Scand J Trauma Resusc Emerg Med. 2017. PMID: 28655356 Free PMC article. Clinical Trial.
References
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- Deacon AJ, Melhuishi NS, Terblanche NC. CUSUM method for construction of trainee spinal ultrasound learning curves following standardised teaching. Anaesth Intensive Care. 2014;42:480–486. - PubMed
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