Table of Contents
Can you do a lumbar puncture on Plavix?
Although platelet dysfunction owing to aspirin or clopidogrel is not an absolute contraindication for lumbar puncture,6 a survey of European hospitals found that 80% of them require supplementary information, such as bleeding time or date of drug discontinuation, before starting the procedure.
Can you have a spinal tap while on blood thinners?
The provider will have to decide if it is safe for you to have a lumbar puncture. He or she may have you stop taking certain blood thinners a few days before the procedure. Do not stop taking this medicine unless directed by your healthcare provider.
How long do you hold Plavix before lumbar puncture?
described a case of subarachnoid hemor- rhage after a diagnostic LP performed with a fine needle in a patient using aspirin and clopidogrel26. In view of this risk the American Society of Regional Anesthesia (ASRA) proposed that clopidogrel should be dis- continued for 7 days before spinal anesthesia27.
Is clopidogrel contraindication for lumbar puncture?
Aspirin or clopidogrel, or both, did not meaningfully increase hemorrhagic complications in patients undergoing lumbar punctures, regardless of when the antiplatelet drug was discontinued relative to the time of the procedure.
When should you stop anticoagulation before a lumbar puncture?
at least 36 hours before, and 6–12 hours after LP. LP should be avoided if possible in patients on treatment dose fondaparinux as there is little evidence around the bleeding risk, and concerns about accumulation.
What are the side effects of getting a spinal tap?
- Post-lumbar puncture headache. Around 25% of people who have undergone a lumbar puncture develop a headache afterward due to a leak of fluid into nearby tissues.
- Back discomfort or pain. You may feel pain or tenderness in your lower back after the procedure.
- Brainstem herniation.
How long does a spinal tap take to get results?
Simple tests are ready the same day, if not within a few hours. If we’re looking for bacteria, we’ll know the results within 72 hours. Other, more demanding tests may be ready in a matter of days or weeks; and specific biochemical tests that are looking for certain antibodies may take six to eight weeks to come back.
Is a lumbar puncture risky?
Though lumbar punctures are generally recognized as safe, they do carry some risks. These include: Post-lumbar puncture headache. Around 25% of people who have undergone a lumbar puncture develop a headache afterward due to a leak of fluid into nearby tissues.
When should you not have a lumbar puncture?
Absolute contraindications for lumbar puncture are the presence of infected skin over the needle entry site and the presence of unequal pressures between the supratentorial and infratentorial compartments.
When should you not perform a lumbar puncture?
Absolute contraindications for performing a LP include infected skin over the puncture site, increased intracranial pressure (ICP) from any space-occupying lesion (mass, abscess), and trauma or mass to lumbar vertebrae.
When is a spinal tap contraindicated?