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Related Experiment Video

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Lateral Fluid Percussion: Model of Traumatic Brain Injury in Mice
11:04

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Published on: August 22, 2011

"Traumatic tap" proportion in pediatric lumbar puncture.

Dante Pappano1

  • 1East Tennessee Children's Hospital, Knoxville, TN, USA. epappano@aol.com

Pediatric Emergency Care
|June 26, 2010
PubMed
Summary
This summary is machine-generated.

Experienced physicians performing pediatric lumbar puncture have a lower rate of traumatic or bloody tap. This study found that 99% of procedures had minimal blood in cerebrospinal fluid, suggesting improved technique reduces false positives.

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Area of Science:

  • Pediatric Emergency Medicine
  • Neurology
  • Clinical Procedures

Background:

  • Traumatic or bloody tap is a common complication of pediatric lumbar puncture.
  • High rates of bloody tap can lead to misinterpretation of cerebrospinal fluid analysis, potentially causing unnecessary treatments.

Purpose of the Study:

  • To assess the frequency of bloody tap in pediatric lumbar punctures performed by experienced physicians.
  • To compare these findings with established rates in the literature.

Main Methods:

  • Retrospective review of 100 pediatric lumbar punctures performed in an emergency department.
  • Analysis of cerebrospinal fluid cell counts and procedural outcomes.
  • Categorization of results based on red blood cell counts.

Main Results:

  • Only one procedure yielded bloody fluid without a cell count.
  • The remaining 99 procedures showed red blood cell counts below 1000.
  • This indicates a significantly lower rate of bloody tap compared to typical training center data.

Conclusions:

  • Experienced physicians performing pediatric lumbar puncture achieve a much lower rate of bloody tap.
  • The reported 20-30% rate in training centers may overestimate the true incidence.
  • Frequent performance and completed training are associated with improved pediatric lumbar puncture outcomes.