PEDIATRICS Vol. 52 No. 3 September 1973, pp. 462
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To Tap and How To Tap

A. S. Zisman M.D.1

1 263 North Main Street, Spring Valley, New York 10977

I have read the several articles in the March 1973 issue of Pediatrics concerning lumbar puncture.1-3

I think it would have been appropriate to review some of the technical features of lumbar puncture to which reference was made, but which were not fully delineated. I would have liked the following questions answered: (1) Are all children of all ages given a local anesthetic before the introduction of the spinal needle? (2) To what degree is the "doubling up and tight positioning of the child" required for ease of entry, versus the control of a child struggling because of pain?