THE TECHNIC OF MEDICATION
A SERIES OF ARTICLES ON THE METHODS OF PRESCRIBING AND PREPARING, THE INDICATIONS FOR, AND THE USES OF VARIOUS MEDICAMENTS
BERNARD FANTUS, M.D.Associate Clinical Professor of Medicine, Rush Medical CollegeCHICAGO
—The needle must be from 3 to 3½ inches long, and should be provided with a removable stilet. As "puncture headache" is believed to be due to excessive leakage of cerebrospinal fluid through a tear in the meninges inflicted by the needle, Greene 196 advocates for this purpose a 22 gage needle with a round, tapering, sharp point. By means of this needle he has done lumbar punctures with a headache incidence of less than 1 per cent. Nearly all these punctures were done in the office, and the patients allowed to go home to lie down. Many of the patients, however, did not do this
Special Article. JAMA. 1926;87(10):755–757. doi:10.1001/jama.1926.02680100039010
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