Technical Compliance to Standard Guidelines for Lumbar Puncture and Myelography: Survey of Academic Neuroradiology Attendings and Fellows

作者: Yi C. Zhang , Alexander J. Chandler , Nolan J. Kagetsu

DOI: 10.1016/J.ACRA.2014.01.021

关键词:

摘要: Rationale and Objectives To assess technical compliance among neuroradiology attendings fellows to standard guidelines for lumbar puncture myelography minimize procedural complications such as iatrogenic meningitis spinal headache. Materials Methods We surveyed academic in the e-mail directory of Association Program Directors Radiology. queried use face masks, noncutting needles, dural practices. All data were collected anonymously. Results A total 110 survey responses received: 75 from 34 fellows, which represents a 14% response rate 239 fellows. Forty-seven out 101 (47%) neuroradiologists do not always wear mask during myelograms, 50 105(48%) punctures, placing patients at risk meningitis. Ninety-six 106 (91%) Quincke cutting needle by default, compared only 17 109 (16%) who have ever used needles proven reduce Duration postprocedure bed rest does influence incidence headache may subject unnecessary monitoring. Only 15 (14%) our study prescribe rest. There was no statistically significant difference practice between Conclusions Iatrogenic are preventable that can conforming guidelines. Wearing masks using will patient morbidity lower hospitalization costs associated with complications.

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