Vanderbilt University Medical Center
This is a clinical trial to determine the extent to which ultrasound-assisted lumbar puncture using a standardized procedure, including use of ultrasound to ascertain the presence of cerebrospinal fluid (CSF) at L3 - L5 and the optimal needle insertion distance, increases the acquisition rate of CSF that is interpretable for patient management.
Lumbar puncture (LP) is a frequently performed procedure in pediatric emergency departments, most often to evaluate meningitis in hyperthermic, hypothermic, or ill-appearing neonates, infants and children. Older children often present with headaches, meningismus, and/or altered mental status. The risks of LP include introduction of pathogens, pain, the need for multiple attempts, and failure to obtain interpretable CSF. The latter frequently leads to a spine ultrasound study the following day and, if this does not demonstrate an epidural blood clot, repeat lumbar puncture using fluoroscopic g…
Inclusion Criteria: * \- Neonates and infants (\< 12 months) * Hemodynamically stable * Undergoing a lumbar puncture for diagnostic testing Exclusion Criteria: * \- Infants \> 12 months and 1 day * Signs of clinical instability * Known spinal anomalies (e.g., spina bifida, meningomyelocele) or previous spinal surgery
Ultrasound of spinal canal without contrast. We included the term "ultrasound contrast" because the choices were limited.
Arctuva estimate
Verify or correct the compensation shown for this listing.