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Have you ever struggled with a difficult lumbar puncture (LP)? If so, you’ll know how challenging it can be, especially in patients with a high BMI, scoliosis, or degenerative spinal changes where landmarks are impossible to palpate. Multiple needle passes don't just increase patient discomfort; they also raise the risk of a traumatic “bloody” tap or a post-dural puncture headache. By using ultrasound to visualise the path from skin to cerebrospinal fluid (CSF), you can: • Identify landmarks tha
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