Advances in biomedical technology have increased the success rate of medical procedures due to improvements safety and efficacy. During assessment patients with acute neurological disorder who require a lumbar puncture, some conditions may hinder its performance, such as infection at puncture site or bone abnormalities that cause spinal cord injury. Bedside ultrasound is good alternative assist...

BACKGROUND Valsalva maneuver reduces pain by activating sinoaortic baroreceptor reflex arc. We planned this study to evaluate the role of valsalva in attenuating spinal needle-puncture pain. METHODS Ninety American Society of Anesthesiologists (ASA) grade I and II enrolled patients undergoing elective surgery were randomized into 3 groups of 30 each. Group I (Control): didn't blow; group II (...

BACKGROUND Errors in the judgement of puncture level during neuraxial anaesthesia can lead to significant complications. The aim of this study was to assess, in obstetric anaesthesia, the accuracy of clinical determination of the lumbar spinal interspace level, using surface ultrasound imaging as control. METHODS At the anaesthesia follow-up visit, women who had received lumbar neuraxial anae...

conclusions the aspiration of 1 - 3 ml of csf before an injection of levobupivacaine did not seem to affect the spread and duration of the sensory block or postpuncture complications in children following sa. results there were no between-group differences in the time to regression of the block below t10 or in the cephalic spread of the sensory block: 94 (27) minutes and t4.4 (sd 2.2) in the cs...

The objectives of this study is to find the incidence of post dural puncture headache(PDPH) while using traumatic(Quincke) and atraumatic(Whitacre) needles for spinal anaesthesia . A prospective randomized double blind study in 100 ASA 1 and 2 patients undergoing lumbar subarachnoid block for elective inguinal hernia surgery conducted over 8 months. Lumbar puncture was performed by Anaesthesiol...

Guillain Barre Syndrome (GBS) is a challenging pathology which diagnosis is based essentially on the clinical examination and the results of lumbar puncture. Differential diagnosis must be discussed if the clinical picture is not complete. We present the case of a patient who presented to the emergency department with symptoms evoking both GBS and spinal cord compression. The Radiology showed a...

Headache (HA) is a common sequel to lumbar puncture (LP), whether performed for diagnosis or anesthesia. In their monograph summarizing the world literature through 1960, Tourtellotte et al. considered separately three principal patient populations: 1) patients undergoing diagnostic LPs (excluding myelography, pneumoencephalography, and cisternal puncture), excluding also patients whose conditi...