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

Jeyakumar, Arthie; Weaver, John J; Hage, Anthony N.; Koo, Kevin S. H.; Shivaram, Giridhar M.; Monroe, Eric J.

doi:10.1007/s00247-020-04831-w

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…Given the limited data on US for infant SA, we performed a secondary search to investigate the potential benefit of ultrasonography for infant LP. We found eight articles describing preprocedural US38–45 and six describing continuous US guidance46–51 (table 2).…”

Section: Discussionmentioning

confidence: 99%

“…Continuous US guidance for infant LP may show greater promise. Multiple studies have demonstrated 100% success rate with this technique, even in patients for whom landmark techniques have failed 47 50 51. In a retrospective review of 196 infant LPs, Pierce et al found that 90% of US-guided LPs were successful (defined as return of any CSF from the spinal needle), with the remaining 10% either never achieving success or finally obtaining CSF with fluoroscopy 49.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-guided spinal anesthesia in infants: a narrative review

Baskin

Berde

Saravanan

et al. 2022

Reg Anesth Pain Med

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Background/importanceInfant spinal anesthesia has many potential benefits. However, the delivery of infant spinal anesthesia is technically challenging. The landmark-based technique has not changed for over a century. Advancements in ultrasound technology may provide an opportunity to improve infant spinal procedures.ObjectiveOur primary objective is to conduct a comprehensive review of the current literature on ultrasonography for spinal anesthesia in infants. Given the narrow scope of this topic, our secondary objective is to review the current literature on ultrasonography for lumbar puncture in infants.Evidence reviewWe reviewed all papers related to the use of ultrasound for infant spinal anesthesia. Two large databases were searched with key terms. Eligibility criteria were full-text articles in English. For our secondary objective, we searched one large database for key terms relating to ultrasonography and infant lumbar puncture. Eligibility criteria were the same.FindingsOur primary search retrieved six articles. These consisted of four review articles, one case report, and one retrospective observational study. Our secondary search retrieved fourteen articles. These consisted of five randomized control trials, four prospective studies, three retrospective studies, and two review papers.ConclusionsUltrasound yields high-quality images of the infant spine. Most literature regarding ultrasound for infant spinal procedures arises from emergency medicine or interventional radiology specialties. The literature on ultrasound for infant spinal anesthesia is extremely limited, but shows promise. Future studies are needed in order to determine whether ultrasound can improve the success rate for delivery of infant spinal anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided spinal anesthesia in infants: a narrative review

Baskin

Berde

Saravanan

et al. 2022

Reg Anesth Pain Med

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“…A large retrospective study of ultrasound‐guided lumbar puncture in pediatric patients showed a technical success rate of 95.4% with no adverse events 8 . A follow‐up study incorporated planning US to confirm CSF adequacy prior to LP and resulted in a 100% technical success rate 9 . The authors concluded that ultrasound, for both pre‐procedural evaluation and lumbar puncture in children, may aid in the patient selection, technical feasibility, and safety.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound-guided access has been previously described as an efficacious and safe technique for lumbar puncture, epidural blood patches, and steroid injections. [8][9][10][11] A large retrospective study of ultrasoundguided lumbar puncture in pediatric patients showed a technical success rate of 95.4% with no adverse events. 8 A follow-up study incorporated planning US to confirm CSF adequacy prior to LP and resulted in a 100% technical success rate.…”

Section: Discussionmentioning

confidence: 99%

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Combined ultrasound and fluoroscopy guided tunneled external lumbar drain placement in children

Bertino

Shin

Weaver

et al. 2021

J of Clinical Ultrasound

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External lumbar drain placement has been shown to be an efficacious and safe approach to managing various forms of intracranial hypertension in adult patients and children. The use of ultrasound guidance for lumbar punctures in young patients has been described however, but the modality is not routinely used for the placement of tunneled lumbar drains. In this report, two cases are presented that detail experience using ultrasound guidance for tunneled lumbar drains in children.

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Échorepérage et échoguidage pour les anesthésies neuraxiales

Aveline¹

2022

Anesthésie & Réanimation

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

Cited by 4 publications

References 15 publications

Ultrasound-guided spinal anesthesia in infants: a narrative review

Ultrasound-guided spinal anesthesia in infants: a narrative review

Combined ultrasound and fluoroscopy guided tunneled external lumbar drain placement in children

Échorepérage et échoguidage pour les anesthésies neuraxiales

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