Background: Among bedside procedures, factors such as body mass index (BMI), prior spinal procedures, and complex spinal anatomy are known to affect the success of lumbar punctures (LP) [2, 3]. However, the phenomenon of a “dry tap,” where cerebrospinal fluid (CSF) cannot be obtained despite the needle tip being correctly positioned in the thecal sac, [...]

Background: Medicine procedure services (MPSs) have been shown to increase procedure volume, procedure completion rate, adherence to best practice safety measures, resident involvement, and resident satisfaction, and decrease length of stay within Internal Medicine (IM) [Ref 1-4]. However, the frequency with which MPSs rely on other services, particularly Interventional Radiology (IR), for assistance to complete [...]