Use of the ultrasound to determine the level of lumbar puncture in pregnant women.
Rev Bras Anestesiol 60(1):13-9 (2010) PMID 20169259
An imaginary line connecting both iliac crests is used to determine the vertebral level for lumbar puncture. This line crosses the spine at the level of L4 or the L4-L5 space. This anatomical reference can be inaccurate in a large proportion of patients. The objective of the present study was to determine whether the identification of the L3-L4 space by the physical exam differs from that of the ultrasound in obese and non-obese pregnant women.
DOI: 10.1590/S0034-70942010000100002
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