Needle-Free Jet Injection of Lidocaine During Lumbar Puncture

NCT ID: NCT01224431

Last Updated: 2018-10-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2010-06-30

Brief Summary

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Background: The J-Tip Device allows an intradermal needle-free jet injection of 1% buffered lidocaine. This study compares needle-free jet injection of lidocaine to saline in reducing pain prior to lumbar puncture in infants.

Methods: Randomized, double-blinded, placebo controlled trial involving infants, less than 3 months of age, presenting to the emergency department meeting clinical criteria for a lumbar puncture. All patients were administered the J-tip and randomized to either treatment with 1% lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture.

Detailed Description

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Background: Lumbar puncture is an essential procedure in the emergency department for the evaluation of meningitis. Subcutaneous injection of lidocaine prior to lumbar puncture for local anesthesia is not a pain free procedure. The J-Tip Device allows an intradermal needle-free jet injection of 1% buffered lidocaine. This study compares needle-free jet injection of lidocaine to saline in reducing pain prior to lumbar puncture in infants.

Methods: Randomized, double-blinded, placebo controlled trial involving infants, less than 3 months of age, presenting to the emergency department meeting clinical criteria for a lumbar puncture. All patients were administered the J-tip and randomized to either treatment with 1% lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture. Vital signs were recorded during the procedure. Facial expressions as well as crying times were video recorded from start to finish. Independent reviewers assigned pain scores based on the validated Neonatal Facial Coding System with possible scores ranging from 0-5.

Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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Buffered lidocaine J-tip

Needleless injection of buffered lidocaine prior to lumbar puncture versus placebo (Normal saline)

Group Type EXPERIMENTAL

Buffered Lidocaine J-tip

Intervention Type DRUG

All patients were administered the J-tip and randomized to either treatment with 1% lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture. Vital signs were recorded during the procedure. Facial expressions were video recorded

Normal saline J-tip

Needleless injection of normal saline (placebo) prior to lumbar puncture versus use of buffered lidocaine

Group Type PLACEBO_COMPARATOR

Buffered Lidocaine J-tip

Intervention Type DRUG

All patients were administered the J-tip and randomized to either treatment with 1% lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture. Vital signs were recorded during the procedure. Facial expressions were video recorded

Interventions

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Buffered Lidocaine J-tip

All patients were administered the J-tip and randomized to either treatment with 1% lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture. Vital signs were recorded during the procedure. Facial expressions were video recorded

Intervention Type DRUG

Other Intervention Names

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Normal Saline J-tip

Eligibility Criteria

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Inclusion Criteria

* fever in infants less than 3 months

Exclusion Criteria

* toxic appearance, altered level of consciousness, age greater than 3 months or less than 4kg of weight
Maximum Eligible Age

90 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Phoenix Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Blake Bulloch

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Blake Bulloch, MD

Role: STUDY_DIRECTOR

Phoenix Childrens Hospital

Locations

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Blake Bulloch/PhoenixChildren's Hospital

Phoenix, Arizona, United States

Site Status

Countries

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United States

References

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Ferayorni A, Yniguez R, Bryson M, Bulloch B. Needle-free jet injection of lidocaine for local anesthesia during lumbar puncture: a randomized controlled trial. Pediatr Emerg Care. 2012 Jul;28(7):687-90. doi: 10.1097/PEC.0b013e31825d210b.

Reference Type BACKGROUND
PMID: 22743744 (View on PubMed)

Other Identifiers

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09-014

Identifier Type: -

Identifier Source: org_study_id

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