Ultrasound-Assisted Lumbar Puncture in Children

S

St. Justine's Hospital

Status

Completed

Conditions

Fever

Treatments

Radiation: ultrasound-assisted lumbar puncture

Study type

Interventional

Funder types

Other

Identifiers

NCT03099642
UALP

Details and patient eligibility

About

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.

Enrollment

166 patients

Sex

All

Ages

Under 18 years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Diagnostic

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

166 participants in 2 patient groups

Ultrasound assisted lumbar puncture
Experimental group
Description:
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
Treatment:
Radiation: ultrasound-assisted lumbar puncture
Standard lumbar puncture
No Intervention group
Description:
The control group will have a standard landmark-based lumbar puncture

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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