Color Flow Doppler Point of Care Ultrasound to Evaluate Vessels before Infant Lumbar Puncture

详细信息    查看全文

• 作者：Brunhild M. Halm ; MD ; PhD ; RDMS ; David O. Kessler ; MD ; MSc
• 关键词：color flow Doppler ; infant ; lumbar puncture ; point of care ultrasound
• 刊名：The Journal of Emergency Medicine
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：52
• 期：1
• 页码：70-73
• 全文大小：581 K
• 卷排序：52

文摘

Infant lumbar punctures (LPs) are common procedures performed in the emergency department. However, 10% to 35% of these LPs are unsuccessful or grossly bloody, which can lead to increased hospitalization, increased costs, and prolonged exposure to antibiotics or antivirals. Point of care ultrasound (POCUS) may help to surmount the intrinsic causes of LP failure by providing a visual guide of the vascular structures in the needle path before a LP is performed.Case ReportWe report two cases where color flow Doppler POCUS was used to identify vascular structures around the spinal canal in infants before attempting a LP.Why Should An Emergency Physician Be Aware of This?Color flow Doppler POCUS directly visualizes the spinal vascular structures in infants and may help guide the physician in the decision-making process of what intervertebral space and stylet placement to use for a LP.