How to GET your Neonatal Spinal Taps// Step-by-step instructions!
INFANTS often need lumbar punctures (meningitis, herpes, syphilis etc.) so learn the steps needed to get that CSF. What landmarks do we use? Which inter-spinous spaces? How deep should the needle go? What could be going wrong? Watch this video and feel MUCH more confident when you go to tap!
For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here:
https://talatalksnicu.substack.com/su...
---------------------------------------------------------------------
Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
---------------------------------------------------------------------
Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
----------------------------------------------------------------------
References:
Macdonalds Atlas of Procedures in Neonatology. Get it here: https://amzn.to/3U5IlbW
Assessment of infant position and timing of stylet removal to improve lumbar puncture success in neonates (NeoCLEAR): an open-label, 2 × 2 factorial, randomised, controlled trial
Marshall, Andrew S J et al.
The Lancet Child & Adolescent Health, Volume 7, Issue 2, 91 - 100
https://simulead.com/en/product-detai...
Schulga P, Grattan R, Napier C, Babiker MO. How to use… lumbar puncture in children. Arch Dis Child Educ Pract Ed. 2015 Oct;100(5):264-71. doi: 10.1136/archdischild-2014-307600. Epub 2015 Jun 23. PMID
Yıldız, Bülent et al. “Evaluation of Conus Medullaris Level in Newborn Infants”. Cukurova Medical Journal, vol. 48, no. 2, 2023, pp. 629-36, doi:10.17826/cumj.1241867.
Bruccoleri RE, Chen L. Needle-entry angle for lumbar puncture in children as determined by using ultrasonography. Pediatrics. 2011 Apr;127(4):e921-6. doi: 10.1542/peds.2010-2511. Epub 2011 Mar 28. PMID: 21444601; PMCID: PMC3065080.
https://theprocedureguide.com/lumbar-...
https://www.loc.gov/resource/ppmsca.0...
----------------------------------------------------------------------------
*Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice.
