[The patients' care after lumbar puncture: hydration and bed rest?]
Marina Vanzetta1, Bushlaibi Mezoon
1Divisione di Neurologia, Ospedale Sacro Cuore, Negrar, Verona.
Unlabelled:
Headache after cervical or lumbar puncture has long been attributed to early mobilization; however, several trials and meta-analysis did not show any benefit from bed rest.
Aim:
The aim of the survey was to describe the patients' care after lumbar puncture.
Methods:
A phone interview was administered to the head nurses of 50 neurological wards of Lumbardy and Veneto Region.
Results:
All patients are kept at bed rest after the procedure from 3 to 24 hours. They are hydrated in 45 centres (i.v. or per os) with amounts of fluids ranging from 500 to 2500 ml. In 14 wards the patients fast until the afternoon, and are allowed only fluids.
Conclusions:
Although there is no evidence for the use of increased fluids or bed rest to prevent post dural puncture headache, these and other non evidence based practices continue to be used. Further research is warranted on strategies to implement an evidence based patients care.
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