Lumbar Puncture in Pediatrics

Lumbar puncture is a very important step in the diagnosis and management of meningitis in pediatrics

[@user-pl8ul3sj3b]

حابه اشكرك يا دكتور انتا من الناس ال لها فضل عليا ❤

[@tearbag]

Dr Naga! I just found out I passed my pediatric boards, thanks to your lectures and your book!!!!!!

[@pediatricboardalastminuter1892]

Congratulations I'm very happy to hear that. I'm also glad that my book and my lectures helped you pass the exam. Good luck in your career.

[@fatemaagbesh739]

best video ever.. explaining LP.. thanks

[@pediatricboardalastminuter1892]

Thanks

[@bagwelltheodor5243]

you are the best

[@drmohammedalprof]

جزاك الله خيرا

[@dr.ahmadsalahawad9497]

Great informative lecture.

[@pediatricboardalastminuter1892]

Glad you enjoyed it!

[@user-fl6uf3us2t]

♥

[@naveedhaider3112]

Wonderful Video Sir

[@pediatricboardalastminuter1892]

Thank you!

[@sahanashankari7726]

very informative vedio thank you Sir

[@pediatricboardalastminuter1892]

Thank you!

[@drragab5683]

Very useful. Thanks.

[@pediatricboardalastminuter1892]

You are welcome

[@user-xn9pr9ov1f]

thank you so much we are waiting more

[@pediatricboardalastminuter1892]

Thanks

[@muathaldhoon9250]

thank you very much doctor

[@pediatricboardalastminuter1892]

Thanks

[@bahaaashwirf1968]

Thank u doctor

[@pediatricboardalastminuter1892]

Thank you!

[@sarahc5007]

Thank you so much Dr. Osama for this great review. I would like to know what you would consider, from your experience, in an infant (not neonate) not on antibiotics, who presented with sudden bulging anterior fontanelle, hyperreflexia, clonus and fever, but with CSF findings all normal.. besides a viral meningitis, what else should we be considering? Thank you so much!

[@pediatricboardalastminuter1892]

Metabolic encephalopathy, it can be triggered by a viral infection.

[@pediatricboardalastminuter1892]

Thanks

[@NizamKhan-lq2sr]

May be pseudotumor cerebri?

[@sherifbatawy]

Thanks Dr. Naga! What would happen if you measure the opening pressure in a lumbar puncture performed in a sitting position?

[@writerico]

السلام عليكم و رحمة الله شكرا على الفيديو الرائع بس نقطة واحدة لم استطلع كتابتها بالانجليزى bevel up معناها الفتحة فوق و ليس السن اللى فوق كما ظهر فى الفيديو

[@pediatricboardalastminuter1892]

Its a point and bevel. Bevel is up in lateral recumbent position. Thanks

[@criticalmass500]

Dr Osama It is my personal experience that getting clean CSF is more difficult in older children/ adolescents as compared to less than 5 year old children, what is your experience and any suggestions to hit the space accurately in older children/ adolescents. Also I think along with local anesthesia, sedation should be used to make it as painless as possible and also for possible retrograde amnesia with ketamine

[@pediatricboardalastminuter1892]

The only way to gain this experience is to perform more LPs on different age groups, that is why pediatric oncologist and anesthesia doctors are good at it because they do it almost everyday. Thanks.