Template:Lumbar puncture with coagulopathy: Difference between revisions

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===[[Procedures in patients with coagulopathies|Lumbar puncture if coagulopathic]]===
*Tranfuse if platelets <25,000<ref>Howard SC, Gajjar A, Ribeiro RC, et al. Safety of lumbar puncture for children with acute lymphoblastic leukemia and thrombocytopenia. JAMA 2000; 284:2222–2224</ref><ref>Vavricka SR, Walter RB, Irani S, Halter J, Schanz U. Safety of lumbar puncture for adults with acute leukemia and restrictive prophylactic platelet transfusion. Ann Hematol 2003; 82:570–573</ref>
*Tranfuse if platelets <25,000<ref>Howard SC, Gajjar A, Ribeiro RC, et al. Safety of lumbar puncture for children with acute lymphoblastic leukemia and thrombocytopenia. JAMA 2000; 284:2222–2224</ref><ref>Vavricka SR, Walter RB, Irani S, Halter J, Schanz U. Safety of lumbar puncture for adults with acute leukemia and restrictive prophylactic platelet transfusion. Ann Hematol 2003; 82:570–573</ref>
*INR >1.5
*INR >1.5
*Hemophilia, von Willebrand disease, other coagulopathies
*Hemophilia, von Willebrand disease, other coagulopathies
**If hemophiliac, replace factor before LP
**If hemophiliac, replace factor before LP

Latest revision as of 07:54, 30 May 2015

Lumbar puncture if coagulopathic

  • Tranfuse if platelets <25,000[1][2]
  • INR >1.5
  • Hemophilia, von Willebrand disease, other coagulopathies
    • If hemophiliac, replace factor before LP
  1. Howard SC, Gajjar A, Ribeiro RC, et al. Safety of lumbar puncture for children with acute lymphoblastic leukemia and thrombocytopenia. JAMA 2000; 284:2222–2224
  2. Vavricka SR, Walter RB, Irani S, Halter J, Schanz U. Safety of lumbar puncture for adults with acute leukemia and restrictive prophylactic platelet transfusion. Ann Hematol 2003; 82:570–573