Ultrasound-Assisted Lumbar Puncture in Obese Patients

被引：15

作者：

Strony, Robert ^{[1
]}

机构：

[1] Geisinger Med Ctr, Dept Emergency Med, Danville, PA 17822 USA

来源：

CRITICAL CARE CLINICS | 2010年 / 26卷 / 04期

关键词：

Ultrasound; Lumbar puncture; Obese; Emergency department; EPIDURAL SPACE; LANDMARKS;

D O I：

10.1016/j.ccc.2010.07.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The use of ultrasound to mark landmarks for diagnostic lumbar puncture has been described in emergency medicine as well as in the anesthesia literature One of the most difficult scenarios arises when obese patients with a body mass index (BMI) of greater than 30 present to an acute care setting such as the emergency department or intensive care unit and require diagnostic LP This article discusses lumbar puncture in patients with a high BMI

引用

页码：661 / +

页数：5

共 8 条

[1] Ultrasound Imaging of the Lumbar Spine in the Transverse Plane: The Correlation Between Estimated and Actual Depth to the Epidural Space in Obese Parturients [J].

Balki, Mrinalini ;

Lee, Yung ;

Halpern, Stephen ;

Carvalho, Jose C. A. .

ANESTHESIA AND ANALGESIA, 2009, 108 (06) :1876-1881

[2] Ultrasound identification of landmarks preceding lumbar puncture: a pilot study [J].

Ferre, R. M. ;

Sweeney, T. W. ;

Strout, T. D. .

EMERGENCY MEDICINE JOURNAL, 2009, 26 (04) :276-277

[3] Emergency physicians can easily obtain ultrasound images of anatomical landmarks relevant to lumbar puncture [J].

Ferre, Robinson M. ;

Sweeney, Timothy W. .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2007, 25 (03) :291-296

[4] Ultrasound imaging facilitates localization of the epidural space during combined spinal and epidural anesthesia [J].

Grau, T ;

Leipold, RW ;

Conradi, R ;

Martin, E ;

Motsch, J .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2001, 26 (01) :64-67

[5] A randomized controlled trial of ultrasound-assisted lumbar puncture [J].

Nomura, Jason T. ;

Leech, Stephen J. ;

Shenbagamurthi, Srikala ;

Sieezenski, Paul R. ;

O'Connor, Robert E. ;

Bollinger, Melissa ;

Humphrey, Margaret ;

Gukhool, Jason A. .

JOURNAL OF ULTRASOUND IN MEDICINE, 2007, 26 (10) :1341-1348

[6] Bedside ultrasound for difficult lumbar puncture [J].

Peterson, MA ;

Abele, J .

JOURNAL OF EMERGENCY MEDICINE, 2005, 28 (02) :197-200

[7] The use of ultrasound to identify pertinent landmarks for lumbar puncture [J].

Stiffler, Kirk A. ;

Jwayyed, Sharhabeel ;

Wilber, Scott T. ;

Robinson, Angela .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2007, 25 (03) :331-334

[8]

Tran D, 2010, CAN J ANAESTH, V57, P313, DOI 10.1007/s12630-009-9252-1

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