Can simulation-based education and precision teaching improve paediatric trainees ’ behavioural fluency in performing lumbar puncture? A pilot study

This study assessed the efficacy of simulation-based education with frequency building and precision teaching f...
Source: BMC Medical Education - Category: Universities & Medical Training Authors: Tags: Research article Source Type: research

Related Links:

AbstractLumbar puncture (LP) is a common way of collecting cerebrospinal fluid (CSF) both in the clinic and in research. In this extension of a study on the relationship between sleep deprivation and CSF biomarkers for Alzheimer ’s disease, we investigated CSF biomarker dynamics in relation to rebound sleep after sleep deprivation. Two LPs were performed within 3 days in 13 healthy volunteers. We noticed an unexpected sharp rise in biomarker concentrations in the second sample and therefore repeated the experiment, but w ithout sleep intervention, in four additional individuals. The findings were similar in thes...
Source: Fluids and Barriers of the CNS - Category: Neuroscience Source Type: research
AbstractObjectiveTo describe incidence and clinical characteristics of cases of Guillain-Barr é syndrome (GBS) in the USA during 2009–2015, and characteristics of GBS cases with antecedent cytomegalovirus (CMV) infection among persons with employer-sponsored insurance.MethodsWe analyzed medical claims from IBM Watson MarketScan ® databases. GBS patients were defined as enrollees with an inpatient claim with GBS as the principal diagnosis code, based on ICD-9 or ICD-10, and ≥ 1 claim for lumbar puncture or EMG/nerve conduction study. We assessed intensive care unit (ICU) hospitalization, intubatio...
Source: Neurological Sciences - Category: Neurology Source Type: research
En mann i 40-årene med akutt innsettende talevansker og ensidig lammelse. Tidsskr Nor Laegeforen. 2019 Dec 10;139(18): Authors: Jahr SH, Myro AZ, Vegge K, Campbell P Abstract BACKGROUND: Stroke has several causes and the diagnostic investigation can be challenging. Neurosyphilis occurs when Treponema pallidum infects the central nervous system, and is a rare cause of stroke. CASE PRESENTATION: A man in in his late forties with diabetes mellitus and overweight presented with headache, speech impairment and right-sided stroke symptoms. He also had cognitive impairment and psychiatric symptoms...
Source: Tidsskrift for den Norske Laegeforening - Category: General Medicine Authors: Tags: Tidsskr Nor Laegeforen Source Type: research
Passing a spinal needle through a tattoo is not known to result in adverse effects. However, skin cells can be carried into the spinal canal during lumbar puncture, rarely resulting in an intraspinal epidermoid cyst, and therefore, it is possible to introduce tattoo pigment into the spinal canal. The obstetrics anesthesia literature discusses targeting of a spared patch of skin within the tattoo or creation of a small stab wound through which the needle is then introduced.1 A new alternative is to pass the spinal needle through a short, larger needle (figure).
Source: Neurology Clinical Practice - Category: Neurology Authors: Tags: Case Source Type: research
(Reg Anesth Pain Med. 2019;44(1):29–31) Lumbar puncture (LP) is commonly performed for diagnostic and therapeutic purposes in patients with leukemia and lymphoma, who often develop thrombocytopenia. Oncologists are typically cautious to expose patients to unnecessary blood products for fear of alloimmunization, and therefore will perform LP at thrombocytopenic levels beyond that which anesthesiologists would deem acceptable for neuraxial procedures. There may be lessons anesthesiologists can learn from oncologists regarding spinal anesthesia in thrombocytopenic patients and the lowest platelet count at which regiona...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editorials and Reviews Source Type: research
ConclusionsDBS in ET patients effects the neurochemical environment in the CSF. These findings further elucidate the mechanisms of DBS and may lead to new biomarkers for evaluating the effect of DBS treatment.
Source: Neuromodulation: Technology at the Neural Interface - Category: Biotechnology Authors: Tags: Clinical Research Source Type: research
ConclusionsAn inexpensive reusable non-commercial LP simulator can be an effective method for teaching invasive procedures like LPs, especially if it can be used both for palpation and US-guided procedures. The method outlined here can be easily reproduced in a relatively short amount of time. We recognize one limitation in the widespread dissemination of this technique being access to a 3D printer and digital designs for printing. Future studies will be necessary to determine the efficacy of the homemade LP simulator in teaching neurointensivist in training.
Source: Neurocritical Care - Category: Neurology Source Type: research
Conclusions: Because serum serology can be negative at presentation, lumbar puncture is a valuable tool when diagnosing LB among children with facial palsy. Pleocytosis and increased protein and CXCL13 values in the CSF suggest LB as the cause of facial palsy.
Source: The Pediatric Infectious Disease Journal - Category: Infectious Diseases Tags: Original Studies Source Type: research
Publication date: Available online 13 November 2019Source: Neuroscience LettersAuthor(s): Takayuki Katayama, Jun Sawada, Shiori Kikuchi-Takeguchi, Kohei Kano, Kae Takahashi, Tsukasa Saito, Atsutaka Okizaki, Naoyuki HasebeAbstractParkinson’s disease (PD) and dementia with Lewy bodies (DLB) are common neurodegenerative disorders, but no established biochemical markers for these diseases have been identified. We enrolled 78 subjects (27 patients with PD/DLB, 34 patients with non-PD/DLB neurodegenerative disorders [non-PD/DLB], and 17 controls). Cerebrospinal fluid (CSF) was collected via the standard lumbar puncture tec...
Source: Neuroscience Letters - Category: Neuroscience Source Type: research
CONCLUSION: Because 25-40% of cases of facial nerve palsy are not idiopathic, differential diagnosis is very important; key diagnostic methods include a clinical neurological examin- ation, otoscopy, and a lumbar puncture for cerebrospinal fluid examination. High-level evidence supports corticosteroid treatment for the idiopathic form of the disorder. PMID: 31709978 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
More News: Education | Lumbar Puncture | Pediatrics | Study | Teaching | Universities & Medical Training