Emergency Physician Performed Ultrasound-Assisted Lumbar Puncture in a Pediatric Population: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 166
- 试验地点
- 2
- 主要终点
- First-tie success
研究概览
简要总结
The aim of this study is to determine if emergency physician performed ultrasound-assisted lumbar puncture improves first-time success rates in a pediatric population. This will be done by comparison with current landmark-based approach to the procedure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient less than 19 years of age
- •Requiring a lumbar puncture as part of their work-up, as determined by the treating pediatric emergency physician.
排除标准
- •• Patients with known spine or spinal cord abnormalities
- •Patients with ventricular shunts
- •Patients deemed too unstable to have procedure performed
- •Patients at risk for significant bleeding (coagulopathy, thrombocytopenia, etc)
- •Parents unable to give consent or patients unable to assent for an acute reason
研究组 & 干预措施
Ultrasound assisted lumbar puncture
The intervention of interest will be the ultrasound-assisted lumbar puncture (UALP). To do this, the treating physician will perform a bedside ultrasound of the spine to identify and mark the level of the conus medullaris and preferred puncture site prior to LP
干预措施: ultrasound-assisted lumbar puncture (Radiation)
Standard lumbar puncture
The control group will have a standard landmark-based lumbar puncture
结局指标
主要结局
First-tie success
时间窗: 15 minutes
First-time lumbar puncture success rate is defined by the presence of at least 0.5 mL of cerebrospinal fluid with red blood cell count \< 1,000/mm3.
次要结局
- Total lumbar puncture success rate(15 minutes)
- Complication(30 minutes)
- Time of procedure(30 minutes)
- Change in performer(15 minutes)
研究者
Jocelyn Gravel
MD, MSc
St. Justine's Hospital