Document Detail

The effect of lumbar puncture position in sick neonates.
MedLine Citation:
PMID:  6637909     Owner:  NLM     Status:  MEDLINE    
Clinical deterioration has been observed in sick neonates during lumbar puncture. This study was done to determine if hypoxemia occurred during lumbar puncture, if hypoxemia was position dependent, if transcutaneous PO2 (TcPO2) monitoring effected hypoxemia, and what possible mechanisms were involved. Twenty-six neonates received lumbar punctures in either a standard lateral knee-chest position, sitting position, or modified lateral without knee-chest position. Care was taken not to extend or flex the neck. Mean TcPO2 was lower for standard lateral than sitting or modified lateral positions. The time TcPO2 was under 50 mm Hg was greater for standard lateral positions than sitting or modified lateral positions. Increased intraesophageal pressure, in the standard lateral position, suggests extrathoracic compression of the chest by the abdominal contents. We recommend lumbar punctures be done in the sitting or modified lateral position.
L E Weisman; G B Merenstein; J R Steenbarger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  137     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1983 Nov 
Date Detail:
Created Date:  1983-12-17     Completed Date:  1983-12-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1077-9     Citation Subset:  AIM; IM    
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MeSH Terms
Anoxia / etiology*
Birth Weight
Gestational Age
Infant, Newborn
Infection / diagnosis
Oxygen / blood
Partial Pressure
Spinal Puncture / adverse effects*,  methods*
Reg. No./Substance:

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