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Topics:
General Internal Medicine • Critical Care • Hospital Medicine • Point-of-care Ultrasound • General Hospital Medicine
Under what circumstances do you recommend POCUS guidance for lumbar puncture?
Answer from: at Academic Institution
If the circumstances allow for it, I would use ultrasound for guidance for LP every time a LP is performed. This allows for continued practice in identification of the landmarks and improves accuracy in POCUS when it's truly needed, as in obese patients, where landmarks are difficult to palpate.
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