Accuracy of Manual Palpation vs Ultrasound for Spinal Anesthesia

Nationwide Children's Hospital

Status

Completed

Conditions

Anesthesia, Local

Infant Conditions

Treatments

Diagnostic Test: Ultrasound

Study type

Interventional

Funder types

Other

Identifiers

NCT04757805

STUDY00000558

Details and patient eligibility

About

Although the current standard for lumbar puncture and spinal anesthesia is the use of manual palpation of surface landmarks to identify the correct interspace, performance of the procedure at too high of a level may increase the incidence of adverse effects. The current study will evaluate the efficacy of ultrasound in identifying the correct intervertebral space for lumbar puncture thereby improving the safety of the procedure.

Enrollment

50 patients

Sex

All

Ages

Under 12 months old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients less than 1 year of age scheduled for spinal anesthesia for elective lower abdominal, urologic, or lower extremity surgery at Nationwide Children's Hospital

Exclusion criteria

Parents unwilling for their children to undergo spinal anesthesia for surgery.
Children with known spinal anomalies including sacral dimple.
Children with coagulation abnormalities or receiving anticoagulation which precludes the use of spinal anesthesia.
Children with superficial or deep infections over the spine which precludes the use of spinal anesthesia.