5 + steps to PREPARE a baby for a SPINAL TAP!
LUMBAR PUNCTURES are super common in NEONATES! And as we always say- it's "ALL IN THE HOLDING". In the video, we go over 5 important things you need to consider when you're holding a baby for an LP. Exactly how the baby should be positioned, reasons we miss the taps- and other important things to consider before we do the procedure itself!!
For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here:
https://talatalksnicu.substack.com/su...
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
https://www.childrens.health.qld.gov....
Assessment of infant position and timing of stylet removal to improve lumbar puncture success in neonates (NeoCLEAR): an open-label, 2 × 2 factorial, randomised, controlled trial
Marshall, Andrew S J et al.
The Lancet Child & Adolescent Health, Volume 7, Issue 2, 91 - 100
Testoni D, Hornik CP, Guinsburg R, Clark RH, Greenberg RG, Benjamin DK Jr, Smith PB. Early lumbar puncture and risk of intraventricular hemorrhage in very low birth weight infants. Early Hum Dev. 2018 Feb;117:1-6. doi: 10.1016/j.earlhumdev.2017.11.013. Epub 2017 Dec 5. PMID: 29220639.
Pandian JD, Sarada C, Radhakrishnan VV, Kishore A. Iatrogenic meningitis after lumbar puncture-a preventable health hazard. J Hosp Infect. 2004 Feb;56(2):119-24. doi: 10.1016/j.jhin.2003.09.023. PMID: 15019223.
https://dontforgetthebubbles.com/how-...
Pessano S, Romantsik O, Hedayati E, Olsson E, Bruschettini M. Pharmacological interventions for the management of pain and discomfort during lumbar puncture in newborn infants. Cochrane Database Syst Rev. 2022 Dec 14;2022(12):CD015594. doi: 10.1002/14651858.CD015594. PMCID: PMC9749080.
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**TIMESTAMPS**
00:32 Gross position of infant
02:16 Pain management
06:25 Safety during procedure
09:29 Monitoring for sterility
10:51 Holding position for LP
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*Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice.
