Spinal ultrasound after failed landmarked-based lumbar puncture: a single institutional experience

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ORIGINAL ARTICLE

Spinal ultrasound after failed landmarked-based lumbar puncture: a single institutional experience Arthie Jeyakumar 1 & John J. Weaver 1 & Jeffrey Forris Beecham Chick 1,2 & Anthony N. Hage 3 & Kevin S. H. Koo 1,2 & Giridhar M. Shivaram 1,2 & Eric J. Monroe 1,2 Received: 5 May 2020 / Revised: 2 August 2020 / Accepted: 25 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Background The safety and efficacy of US-guided lumbar puncture in children has been described. In the pediatric setting, children are frequently referred to interventional radiology only after a failed landmark-based attempt. Routine pre-procedure US in these children is useful to determine a safe level for subarachnoid access and to optimize success. Objective To determine whether pre-procedure US improves technical success and safety of US-guided lumbar puncture. Materials and methods We included 47 children. Inclusion criteria were urgent US-guided lumbar puncture in pediatric patients