1 4303 Talmadge Road, Toledo, Ohio 43623
2 Children's Hospital Medical Center, Boston, Massachusetts 02115
Successful lumbar puncture in the newborn or small infant is a matter of luck rather than skill. Practice does not make perfect in the execution of this diagnostically major procedure. Thus, the "traumatic" tap is a frequent acute disappointment for even experienced physicians.
For years I'd accepted the vagaries of chance while seeking crucial data about cerebrospinal fluid. Then one night about 5 years ago the frustrating scenario suggested above was again reenacted. The nursery supply of "spinal needles" was exhausted.