If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> Ultrasound<br /> Quick guide<br /> Ultrasound-facilitated<br /> lumbar puncture<br /> Michael B. Stone, MD<br /> Legacy Emanuel Medical Center<br /> Portland, OR<br /> The more you see, the more you can do<br /> Ultrasound-facilitated lumbar puncture is particularly useful when<br /> evaluating patients in whom palpation of anatomic landmarks is<br /> challenging or in whom anatomic approaches to lumbar puncture<br /> have failed. Indications for lumbar puncture include infection<br /> (meningitis/encephalitis), aneurysmal subarachnoid hemorrhage,<br /> or elevated intracranial pressure.<br /> Ultrasound-facilitated lumbar puncture<br /> Patient positioning and transducer selection<br /> • While the patient may be positioned<br /> in the lateral recumbent or upright<br /> position, the upright position is<br /> technically less challenging, and<br /> therefore the preferred position if the<br /> patient is able to tolerate sitting upright.<br /> <a title="US Lumbar puncture_QuickGuide-FINAL page 1" href="http://viewer.zmags.com/publication/13518029?page=1"> Ultrasound Quick guide Ultrasound-facilitated lu</a> <a title="US Lumbar puncture_QuickGuide-FINAL page 2" href="http://viewer.zmags.com/publication/13518029?page=2"> Ultrasound-facilitated lumbar puncture Patient </a> <a title="US Lumbar puncture_QuickGuide-FINAL page 3" href="http://viewer.zmags.com/publication/13518029?page=3"> Ultrasound-facilitated lumbar puncture • S</a> <a title="US Lumbar puncture_QuickGuide-FINAL page 4" href="http://viewer.zmags.com/publication/13518029?page=4"> Ultrasound-facilitated lumbar puncture • Note </a> <a title="US Lumbar puncture_QuickGuide-FINAL page 5" href="http://viewer.zmags.com/publication/13518029?page=5"> Ultrasound-facilitated lumbar puncture • N</a> <a title="US Lumbar puncture_QuickGuide-FINAL page 6" href="http://viewer.zmags.com/publication/13518029?page=6"> Ultrasound-facilitated lumbar puncture • The </a> <a title="US Lumbar puncture_QuickGuide-FINAL page 7" href="http://viewer.zmags.com/publication/13518029?page=7"> Ultrasound evaluation for the detection of a pleu</a>