The Surgical Diseases of Children

Cover The Surgical Diseases of Children
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Coupled with forcible bending of the head upon the chest, has immediately started the flow of the fluid. In sev- eral hundreds of punctures we have never had a so- called dry tap. With the opportunity to immedi- ately puncture the canal following unsuccessful at- tempts to do so, we feel more and more convinced that dry taps are evidence of a failure to enter the canal. In fact, the only absolute assur- ance that one has that he has entered the canal is the withdrawal of some of its contents.
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...ven when the pressure of the fluid is practically negative, as may occur when the cerebral portion of the subarachnoid space is blocked by inflammatory products or a new growth, at least suffi- cient will escape to show that the canal has been entered.
It is possible that the point of the needle may wound the rich FIQ. 104. THE UPRIGHT POSITION FOB LUMBAR PUNCTURE.
This position may be used in older children but the patient is never under as complete con- trol as in the posture illustrated in Fig.


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