Letters Section Editor: Robert M. Golub, MD, Senior Editor.
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.
Piwinski S, Johnson W, Kawasaki M. How to Perform a Lumbar Puncture. JAMA. 2007;297(8):810–811. doi:10.1001/jama.297.8.810-c
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