Procedure Note

Procedure - Lumbar Puncture

Indication - meningitis
Anesthesia - local 1% lidocaine w/ epi

Informed consent was obtained from the patient's mother. The area was prepped and
draped in the usual sterile fashion. Using landmarks, a 22 guage spinal needle was
inserted in the L4-L5 innerspace. The stylet was removed and the opening pressure was
measured at 18 cm of water. 4cc of clear fluid was collected and sent for routine studies.
CSF was also sent for HSV and EBV PCR.

The patient tolerated the procedure well. There was no blood loss or hematoma.