Is bed rest useful after diagnostic lumbar puncture?
نویسندگان
چکیده
A randomized study of 110 patients undergoing their first diagnostic lumbar puncture was performed to compare the effect of immediate mobilization with 4 hours bed rest on the incidence of post lumbar puncture headache. There was no difference between the mobile (n = 54) and bed rest (n = 56) groups in the incidence of post lumbar puncture headache (32% versus 31%, respectively). We conclude that bed rest following lumbar puncture may be an unnecessary imposition on the patient, as well as on nursing staff.
منابع مشابه
Does bed rest after cervical or lumbar puncture prevent headache? A systematic review and meta-analysis.
BACKGROUND Headache after cervical or lumbar puncture has long been attributed to early mobilization; however, there is little evidence for this. We performed a systematic literature review and meta-analysis of randomized controlled trials to assess whether longer bed rest is better than immediate mobilization or short bed rest in preventing headache. METHODS We searched EMBASE (1988 to March...
متن کاملDoes Immediate Mobilization Increase Post Lumbar Puncture - Headache ?
OBJECTIVE: To determine if immediate mobilization after lumbar puncture (LP) increases the incidence of post lumbar puncture headache (PLPHA). BACKGROUND: PLPHA occurs commonly: the average frequency of PLPHA in patients after diagnostic LP has been reported to be about 30%. There are no convincing studies to show that bed rest after LP reduces PLPHA. The benefit of bed rest to prevent PLPHA re...
متن کاملReview: longer bed rest does not prevent more postpuncture headaches than immediate mobilisation or short bed rest.
Main results 16 RCTs met the selection criteria; 1128 patients were assigned to long bed rest and 1083 patients were assigned to immediate mobilisation or short bed rest. Cervical or lumbar puncture was used for anaesthesia (5 trials), myelography (6 trials), and diagnostic reasons (5 trials). 11 trials compared bed rest with immediate mobilisation (0.5–24 h), and 5 trials compared longer bed r...
متن کاملFailure of postural manoeuvres to prevent lumbar puncture headache.
Diagnostic lumbar puncture was performed on 76 neurological inpatients. They were randomly allocated to one of four bed rest positions for four hours following the procedure (supine and horizontal, prone and horizontal, supine with head-down tilt and prone with head-down tilt) after which they were allowed to get up. There was no substantial or significant difference in the incidence of headach...
متن کاملOpinion on Why should we use atraumatic needles in lumbar puncture?, by SLA Matas.
Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...
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عنوان ژورنال:
- Postgraduate medical journal
دوره 68 801 شماره
صفحات -
تاریخ انتشار 1992