Incidence of traumatic lumbar puncture: Experience of a large, tertiary care pediatric hospital

Miguel M. Glatstein; Merav Zucker-Toledano; Alper Arik; Dennis Scolnik; Asaf Oren; Shimon Reif

doi:10.1177/0009922811410309

Incidence of traumatic lumbar puncture: Experience of a large, tertiary care pediatric hospital

Miguel M. Glatstein^*, Merav Zucker-Toledano, Alper Arik, Dennis Scolnik, Asaf Oren, Shimon Reif

^*Corresponding author for this work

Clinical Departments

Research output: Contribution to journal › Article › peer-review

Abstract

The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. A total of 127 CSF were recorded over 1 year. The incidence of a traumatic LP was 27/103 (26.2%) using the sitting position and 3/24 (12.5%) in infants and children using the lying position. In total, 33 (26%) CSF samples had 0 RBCs. The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P =.0074). Incidence of traumatic LP was independent of physicians experience, sedation use or time of procedure, suggesting an intrinsic factor as the cause of traumatic LPs.

Original language	English
Pages (from-to)	1005-1009
Number of pages	5
Journal	Clinical Pediatrics
Volume	50
Issue number	11
DOIs	https://doi.org/10.1177/0009922811410309
State	Published - Nov 2011

Keywords

hematoma
hemorrhage
lumbar puncture
procedure
traumatic tap

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title = "Incidence of traumatic lumbar puncture: Experience of a large, tertiary care pediatric hospital",

abstract = "The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. A total of 127 CSF were recorded over 1 year. The incidence of a traumatic LP was 27/103 (26.2%) using the sitting position and 3/24 (12.5%) in infants and children using the lying position. In total, 33 (26%) CSF samples had 0 RBCs. The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P =.0074). Incidence of traumatic LP was independent of physicians experience, sedation use or time of procedure, suggesting an intrinsic factor as the cause of traumatic LPs.",

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AU - Arik, Alper

AU - Scolnik, Dennis

AU - Oren, Asaf

AU - Reif, Shimon

PY - 2011/11

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N2 - The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. A total of 127 CSF were recorded over 1 year. The incidence of a traumatic LP was 27/103 (26.2%) using the sitting position and 3/24 (12.5%) in infants and children using the lying position. In total, 33 (26%) CSF samples had 0 RBCs. The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P =.0074). Incidence of traumatic LP was independent of physicians experience, sedation use or time of procedure, suggesting an intrinsic factor as the cause of traumatic LPs.

AB - The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. A total of 127 CSF were recorded over 1 year. The incidence of a traumatic LP was 27/103 (26.2%) using the sitting position and 3/24 (12.5%) in infants and children using the lying position. In total, 33 (26%) CSF samples had 0 RBCs. The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P =.0074). Incidence of traumatic LP was independent of physicians experience, sedation use or time of procedure, suggesting an intrinsic factor as the cause of traumatic LPs.

KW - hematoma

KW - hemorrhage

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Incidence of traumatic lumbar puncture: Experience of a large, tertiary care pediatric hospital

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Keywords

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