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Multiple attempts at spinal puncture may be hazardous.
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Spinal puncture was performed with a 25 gauge Quincke needle at L3/4 in lateral decubitus position.
Studies examining CSF are few, however, because they require spinal puncture, a costly and invasive procedure.
One should also consider the possibility that headaches in the early postpartum period may occur as side effects of procedures or medication during labour, for example spinal puncture headaches after epidural or spinal anaesthesia or use of NO2-gas.
The lateral hyperflexion position is often used when performing spinal puncture and is thought to facilitate spinous process and interspace identification.
The new test will not eliminate all spinal punctures, which are needed to see if parasites have reached the brain, but it may mean fewer of them.
We reasoned that since it is minimally invasive, intrathecal delivery of NPCs at lumbar spinal cord (lumbar puncture) represents an important and clinically applicable strategy.
To describe four ultrasound-guided approaches to the lumbar and thoracic spine to aid spinal canal puncture in the dog and to evaluate the feasibility of the technique.
Smokers, alcohol consumers, patients with psychiatric or neurological disorders, chronic diseases such as diabetes, a body mass index over 25, ASA physical status III or IV and contraindications to spinal anaesthesia such as coagulation disorder and infection at the puncture site were excluded from the study.
We evaluated the technical difficulty of the epidural block using three methods: whether the epidural block was accomplished at the spinal level (first-level success); the total number of attempts at skin puncture (attempts-S); and total number of attempts to change ligament puncture direction (attempts-L) required to complete the epidural block.
Exclusion criteria included any known contraindication for spinal anesthesia, such as increased intracranial pressure, hemorrhagic diathesis and infection at the puncture site.
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