Real-Time Ultrasound Guided Paramedian Lumbar Puncture in the Pediatric Emergency Department.
Christopher Thom, Colleen Mullins
✦ AI-curated · Sources linked
Case in brief
The report describes two pediatric emergency department cases in which lumbar puncture was successfully performed using a real-time ultrasound-guided paramedian approach. Unlike ultrasound-assisted techniques that identify landmarks before needle insertion, this method provides active ultrasound guidance as the needle advances into the spinal canal. The abstract does not provide further patient details or procedural outcomes.
What made this case unusual
The needle was guided into the spinal canal in real time using a paramedian approach, addressing the limitation of ultrasound-assisted methods that do not provide active needle guidance.
Diagnostic / clinical pearl
Distinguish ultrasound-assisted landmark identification from real-time ultrasound guidance: the paramedian technique described actively guides needle advancement into the spinal canal.