ArticleNeurology. Clinical practice2020
Ultrasound-guided lumbar puncture improves success rate and efficiency in overweight patients.
Article in Neurology. Clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Using virtual reality or slideshow to teach ultrasound-guided lumbar puncture: immersion increases fun.BMC medical education · 2026Trial
- Ultrasound-Assisted Lumbar Puncture: A Narrative Review With Implications for Educators in the Clinical Neurosciences.Neurology. Education · 2026Review
- "Probe-ing" Deeper: Ultrasound-Assisted Lumbar Puncture Training in Neurology.Neurology. Education · 2026Article
- Fluoroscopic guidance decreases the risk of post-lumbar puncture headache in patients with idiopathic intracranial hypertension.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Increased lumbar puncture success using a paramedian approach: A retrospective cohort study.Journal of hospital medicine · 2026Article
- uSINE-PAMS Artificial Intelligence-Driven, Ultrasound-Guided Lumbar Puncture to Improve Procedural Accuracy: A Pilot Study Report.Neurology. Clinical practice · 2025Article
- 'UltraGUD LP'-ultrasound guided diagnostic LP-a randomizedcontrolled trial. Traditional landmark based lumbar puncture is as effective as ultrasound guided lumbar puncture in outpatient neurology settings.Frontiers in neurology · 2025Article
- Article
- Computer-modified paramedian approach technique reduces failures and alleviates pain in lumbar puncture: a prospective comparative study.Frontiers in medicine · 2023Article
- Comparing Ultrasonography and Surface Landmark-Guided Lumbar Puncture in Patients with Obesity and Difficult Anatomy; a Randomized Controlled Trial.Archives of academic emergency medicine · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 400,000 diagnostic lumbar punctures (LPs) are performed by neurologists yearly in the United States. There has been a transition from neurologists performing >40% of LPs 2 decades ago to now <15% of the time. High body mass index (BMI) is one of the key obstacles of LP for neurology residents, and the success rates drop to 58% when BMI is >35 kg/m
methodsA prospective intervention study was conducted from March 2017 to March 2018 at an academic medical center. Patients were divided into ultrasound-guided LP or conventional LP. The primary outcome was the success rate of LP. The secondary outcome was the parameters regarding LP performance, the patients' feedback after procedures, and the residents' feedback about the learning modules.
resultsEighty-two patients were enrolled with inclusion criteria of age >18 years, BMI ≥25 kg/m
conclusionsThis study suggests that using ultrasound to localize before LP could increase the LP success rate and improve other related LP outcomes in the overweight populations. Our study also provides evidence that brief, targeted teaching modules are feasible and effective for ultrasound-guided LP training. CLASSIFICATION OF EVIDENCE: This study provides Class III evidence that for patients with BMI ≥25 kg/m
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