Ultrasound Use for Difficult Lumbar Punctures in Pediatric Oncology Patients

Nationwide Children's Hospital

Status: Terminated

Conditions: Leukemia

Treatments: Procedure: Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT01643291

IRB12-00335

Details and patient eligibility

About

Hematology-oncology patients may require frequent lumbar puncture for diagnosis, assessment and therapy. When LP is difficult, the patient may endure multiple attempts, prolonged anesthesia time, and with failure of LP may require fluoroscopy-guidance with associated radiation exposure. This investigation will evaluate lumbar punctures performed in the intraoperative setting by oncologists with ultrasound guidance performed by the anesthesiologist in the leukemic pediatric population. The investigators hypothesis is that anesthesiologist guided ultrasound assistance will decrease intraoperative time, number of attempts and need to have the procedure done with fluoroscopy minimizing radiation exposure.

Enrollment: 3 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients undergoing LP as per Heme-Onc clinic who have been deemed to be difficult LP placements.

Exclusion criteria

• Patients having concomitant procedures (bone marrow bx, etc.)

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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3 participants in 1 patient group

Ultrasound

Experimental group

Treatment:

Procedure: Ultrasound