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February 28, 2007

How to Perform a Lumbar Puncture

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(8):810-811. doi:10.1001/jama.297.8.810-c

To the Editor: We are concerned about the recommendation that Dr Straus and colleagues1 made in the Rational Clinical Examination article on lumbar punctures to reinsert the stylet upon completion of a lumbar puncture. This is a difficult maneuver with a high potential for a sharps injury because reinsertion requires the use of one hand to steady the hollow needle while introducing the highly flexible stylet through the needle hub.