NCT03099642
Completed
Not Applicable
Emergency Physician Performed Ultrasound-Assisted Lumbar Puncture in a Pediatric Population: A Randomized Controlled Trial
St. Justine's Hospital1 site in 1 country166 target enrollmentJune 10, 2017
ConditionsFever
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fever
- Sponsor
- St. Justine's Hospital
- Enrollment
- 166
- Locations
- 1
- Primary Endpoint
- First-tie success
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
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.
Investigators
Jocelyn Gravel
MD, MSc
St. Justine's Hospital
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •• 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
Outcomes
Primary Outcomes
First-tie success
Time Frame: 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.
Secondary Outcomes
- Total lumbar puncture success rate(15 minutes)
- Complication(30 minutes)
- Time of procedure(30 minutes)
- Change in performer(15 minutes)
Study Sites (1)
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