Pediatric Emergencies: Lumbar Puncture

Home

VIRTUAL LP

 

INDICATIONS

CONTRAINDICATIONS

ANATOMY

SURGICAL PLANES

EQUIPMENT

PROCEDURE

SPECIMENS

COMPLICATIONS

TREATMENT

QUIZ

Equipment

  • Prepackaged LP trays contain all necessary equipment except povidone-iodine and sterile gloves

OR ELSE USE

  • Commercial trays.

  • Spinal needle - 22 gauge:

AGE

Length of needle

Less than 1 year

3.75 cm (1.5 inch)

1 year to middle childhood

6.25cm (2.5 inch)

Older children to adolescents

8.75 cm (3.5 inch)

  • Povidone-iodine solution.

  • 1% Lidocaine and 25 gauge needle for local anesthesia.

  • Sterile 4 x 4 gauze.

  • 3-4 sterile specimen tubes.

  • For viral cultures: an additional tube as well as a cup of ice in which to place the specimen before the lab culture.

  • CSF manometers and 3 way stopcock.