Bedside Ultrasound on the Effectiveness of Lumbar Puncture in Children.
Bedside Ultrasound on the Effectiveness of Lumbar Puncture in Children - Open-label Randomized Trial
Medical University of Warsaw
120 participants
Mar 1, 2024
INTERVENTIONAL
Conditions
Summary
The aim of the study is to assess the influence of ultrasound examination of the lumbar spinal canal on the effectiveness of lumbar puncture. An open-label, randomized interventional study.
Eligibility
Inclusion Criteria3
- children \<18 years of age
- patients who are scheduled to undergo lumbar puncture
- consent of legal guardian
Exclusion Criteria4
- infection of skin and tissues in the area of planned puncture
- developmental defects of the spine and spinal cord
- lack of consent of legal guardian
- contraindications to lumbar puncture
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Interventions
The ultrasound examination will be performed using a Lumify linear probe (frequency range 4-12 MHz). In the longitudinal projection, the doctor will assess the spinal cord endings by marking them with a sterile marker - a horizontal line on the patient's back. In the same projection, the doctor will designate a safe and optimal place (the greatest width of the dural sac) for performing a lumbar puncture by marking it with a sterile marker. Additionally, in the longitudinal projection, the researcher will measure the depth from the skin surface to the dura mater. Then, in the transverse projection, the doctor will confirm the absence of the spinal cord at the planned puncture site and the optimal amount of cerebrospinal fluid in the selected space. This information will be passed on to the operator, who will ultimately decide on the lumbar puncture site.
Locations(1)
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NCT06584864