Abstract
Although lumbar puncture is generally safe, bleeding into the cerebrospinal fluid (CSF), may occur as a result of trauma during the procedure. As a consequence bacteria (in patients with sepsis) or leukemic cells (in patients with leukemia) circulating in blood may be introduced into the CSF as a result of TLP. Therefore paediatric preventive measures must be taken when performing diagnostic LP procedures in pediatric patients suspected of having leukaemia or bacteremia, including the use of deep sedation or general anaesthesia, collection of the initial diagnostic CSF by a very skilled practitioner, and platelets transfusion for ALL patients with thrombocytopenia and circulating leukaemic cells.
Keywords: Pediatrics, traumatic lumbar puncture, meningitis
Current Pediatric Reviews
Title: The Influence of Traumatic Lumbar Puncture (TLP) on Outcome of Pediatric Patients
Volume: 1 Issue: 3
Author(s): Angela Rech and Algemir L. Brunetto
Affiliation:
Keywords: Pediatrics, traumatic lumbar puncture, meningitis
Abstract: Although lumbar puncture is generally safe, bleeding into the cerebrospinal fluid (CSF), may occur as a result of trauma during the procedure. As a consequence bacteria (in patients with sepsis) or leukemic cells (in patients with leukemia) circulating in blood may be introduced into the CSF as a result of TLP. Therefore paediatric preventive measures must be taken when performing diagnostic LP procedures in pediatric patients suspected of having leukaemia or bacteremia, including the use of deep sedation or general anaesthesia, collection of the initial diagnostic CSF by a very skilled practitioner, and platelets transfusion for ALL patients with thrombocytopenia and circulating leukaemic cells.
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Cite this article as:
Rech Angela and Brunetto L. Algemir, The Influence of Traumatic Lumbar Puncture (TLP) on Outcome of Pediatric Patients, Current Pediatric Reviews 2005; 1 (3) . https://dx.doi.org/10.2174/157339605774574944
DOI https://dx.doi.org/10.2174/157339605774574944 |
Print ISSN 1573-3963 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6336 |
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