Quoting James Cameron <[log in to unmask]>:
> The easiest way to access the CSF in GCS 15 patients is getting them to sit
> and curl forwards as much as possible to open up the gap. This reduces
> 'digging around'.
OK, let's not get into a 'my way of doing the procedure is better than your
way' conversation. I do it with the patient lying on their side. You do it
with them sitting up. You might find it easier that way. That doesn't mean
that I do!
> It's how anaesthetists do it on labour ward. It does mean
> you can't measure their opening pressure, but in the patient with 'LASH'
> you're looking for SAH not Benign Intracranial Hypertension anyway.
I don't measure their opening pressure anyway.
> Sedation not needed (and best avoided) this way.
What evidence do you have that sedation is best avoided in this situation?
Didactic statements like that are easily made and purely a matter of opinion.
I believe the complete opposite and I'm happy to say that I don't have any
evidence to support it either. Other than what I witness when I see my
colleagues doing them without local. And the feedback that I get from my
nursing colleagues that my way is 'kinder' to the patient. I'm not in any way
attempting to get the rest of you to do things my way, I was just responding
to a question from Adrian about my own personal practice.
PB
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