Residency Training: A failed lumbar puncture is more about obesity than lack of ability

Residency training: a failed lumbar puncture is more about obesity than lack of ability.

OBJECTIVE To identify factors influencing the success of lumbar puncture (LP) performed by neurology residents in an outpatient clinic. BACKGROUND There is a need to understand the specific influence of patient or operator characteristics in LP performance in order to identify situations at high risk for failure that could benefit from compensatory interventions. METHODS We performed a retr...

[Lumbar puncture training using simulation-based educational strategies: Experience in a clinical pediatric residency].

Pediatricians should acquire multiple skills during their professional training, including procedural skills. Skill acquisition requires knowledge on theoretical bases, direct observation and, lastly, supervised repetitive practice. Training using simulators allows to learn procedures in a controlled setting, ensuring patients' safety, integrating this as a learning stage prior to the actual co...

Lumbar puncture simulation in pediatric residency training: improving procedural competence and decreasing anxiety

BACKGROUND Pediatric residents must become proficient with performing a lumbar puncture (LP) during training. Residents have traditionally acquired LP skills by observing the procedure performed by a more senior resident or staff physician and then attempting the procedure themselves. This process can result in variable procedural skill acquisition and trainee discomfort. This study assessed ch...

IS LUMBAR PUNCTURE JUSTIFIABLE IN THE FIRST FEBRILE SEIZURE?

To ascertain whether LP was justifiable in cases of first simple febrile seizure, the records of128 such patients were critically reviewed in this study. It was evident that in 90% of those who received cerebrospinal fluid examination as a routine work up, lumbar puncture could have been avoided if the definition of simple febrile seizure was adhered to and the history and clinical finding...

A Plea for the More Common Use of Lumbar Puncture