Positioning for lumbar puncture in newborn infants

Pessano, Sara; Bruschettini, Matteo; Prescott, Marcus Glenton; Romantsik, Olga

doi:10.1002/14651858.cd015592.pub2

Cochrane Database of Systematic Reviews

2023

DOI: 10.1002/14651858.cd015592.pub2

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Positioning for lumbar puncture in newborn infants

Sara Pessano,

Matteo Bruschettini,

Marcus Glenton Prescott

et al.

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2024

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Cited by 2 publications

References 44 publications

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Lumbalpunktion bei Neugeborenen: Punktion in Seitenlage bringt keinen Vorteil

2024

Neonatologie Scan

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Lumbalpunktion bei Neugeborenen: Punktion in Seitenlage bringt keinen Vorteil

2024

Neonatologie Scan

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Spinal anesthesia in children: an educational review

Khrapak,

Everett,

Munshey

2024

Colomb. J. Anesthesiol.

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Despite the well-known benefits of spinal anesthesia (SA), this technique remains underutilized among pediatric anesthesiologists. According to the data from the Pediatric Regional Anesthesia Network, SA accounted for less than 5% of all neuraxial techniques. Some of the factors for underutilization of SA include: Limited duration, unfamiliarity with the technique in younger children, and surgeon preference for general anesthesia. The safe and successful use of SA in children involves recognition of anatomical and physiological differences between adults and children owing to differences in bony structures, spinal cord growth and cerebrospinal fluid physiology. Reports on successful use of SA in children for various surgeries have increased. This educational review summarizes what is known about SA in children, reviews the literature from the last decade and provides suggestions for development of SA in children. Technical considerations, role of ultrasound, guidance on dosing, physiological effects, unexplained aspects of the mechanism of action and combined caudal/SA are discussed.

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Positioning for lumbar puncture in newborn infants

Cited by 2 publications

References 44 publications

Lumbalpunktion bei Neugeborenen: Punktion in Seitenlage bringt keinen Vorteil

Lumbalpunktion bei Neugeborenen: Punktion in Seitenlage bringt keinen Vorteil

Spinal anesthesia in children: an educational review

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