Bedside Ultrasound Assisted Pediatric Lumbar Puncture

NCT ID: NCT02193763

Last Updated: 2024-10-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2024-06-30

Brief Summary

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This is a prospective, randomized study evaluating the efficacy of bedside ultrasound assisted lumbar puncture in pediatric patients

Detailed Description

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Comparison of bedside ultrasound assisted lumbar puncture to traditional anatomical landmark approach in neonates and young infants requiring lumbar puncture

Conditions

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Infant/ Neonate Lumbar Puncture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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90 days and under--Interventional

Neonates aged 90 days and under randomized to ultrasound assisted lumbar puncture

Group Type EXPERIMENTAL

Ultrasound assisted lumbar puncture

Intervention Type PROCEDURE

An investigator will perform beside ultrasound on the spinal area using a bedside ultrasound device. Attempts will be made to visualize the spinous processes and vertebral bodies in the general lumbarsacral area, as well as the presence of CSF in the thecal space below the conus medullaris, and identify the optimal location to perform the LP. This will be marked with a skin marker (If no CSF or abnormal anatomy is visualized, the LP will be advised to be postponed or cancelled). The treating physician will then proceed with the LP guided by the skin markings.

90 days and under--control

Neonates aged 90 days and under randomized to lumbar puncture using the anatomical landmark approach

Group Type NO_INTERVENTION

No interventions assigned to this group

Over 90 days--Interventional

Neonates aged over 90 days randomized to ultrasound assisted lumbar puncture

Group Type EXPERIMENTAL

Ultrasound assisted lumbar puncture

Intervention Type PROCEDURE

An investigator will perform beside ultrasound on the spinal area using a bedside ultrasound device. Attempts will be made to visualize the spinous processes and vertebral bodies in the general lumbarsacral area, as well as the presence of CSF in the thecal space below the conus medullaris, and identify the optimal location to perform the LP. This will be marked with a skin marker (If no CSF or abnormal anatomy is visualized, the LP will be advised to be postponed or cancelled). The treating physician will then proceed with the LP guided by the skin markings.

Over 90 days--Control

Neonates aged over 90 days randomized to lumbar puncture using the anatomical landmark approach

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ultrasound assisted lumbar puncture

An investigator will perform beside ultrasound on the spinal area using a bedside ultrasound device. Attempts will be made to visualize the spinous processes and vertebral bodies in the general lumbarsacral area, as well as the presence of CSF in the thecal space below the conus medullaris, and identify the optimal location to perform the LP. This will be marked with a skin marker (If no CSF or abnormal anatomy is visualized, the LP will be advised to be postponed or cancelled). The treating physician will then proceed with the LP guided by the skin markings.

Intervention Type PROCEDURE

Other Intervention Names

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Sonosite M-Turbo ultrasound device (Bothell, WA) with a L25 linear transducer or Zonare Z.One device(Mountain View, CA) with a L10-5 linear array transducer,

Eligibility Criteria

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Inclusion Criteria

* Any patient 0-12 months old requiring a lumbar puncture in the pediatric emergency department or inpatient pediatric floor is eligible to participate in the study

Exclusion Criteria

* previous back surgeries
* parent/ guardian inability to understand informed consent
* parent/guardian refusal of informed consent.
Maximum Eligible Age

12 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Samuel Lam, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Advocate Christ Medical Center

Oak Lawn, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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AHC 4746

Identifier Type: -

Identifier Source: org_study_id

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