Spinal needle size and traumatic neonatal lumbar puncture: an observational study (neo-LP)

Conclusion: Our results showed that traumatic LPs were ~  50% less common with 25G vs 22G needles while retaining a comparable success rate. Dry taps were more likely among the 25G group.What is Known:•The incidence of neonatal ‘traumatic’ lumbar puncture (CSF red cells >  500/mm) has been reported to be 35–46%.•A traumatic lumbar puncture incurs challenges in diagnosis and management of the underlying condition and increases the risk of complications.What is New:•Multivariate analysis revealed lower incidence of traumatic lumbar puncture using 25G needle (vs 22G).•Incidence of obtaining a successful CSF sample was similar between groups.
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research