Literature DB >> 27547275

Prospective evaluation of point-of-care ultrasound for pre-procedure identification of landmarks versus traditional palpation for lumbar puncture.

Shadi Lahham1, Priel Schmalbach1, Sean P Wilson1, Lori Ludeman1, Mohammad Subeh1, Jocelyn Chao1, Nadeem Albadawi1, Niki Mohammadi1, John C Fox1.   

Abstract

BACKGROUND: The objective of this study is to determine if point-of-care ultrasound (POCUS) pre-procedure identification of landmarks can decrease failure rate, reduce procedural time, and decrease the number of needle redirections and reinsertions when performing a lumbar puncture (LP).
METHODS: This was a prospective, randomized controlled trial comparing POCUS pre-procedure identification of landmarks versus traditional palpation for LP in a cohort of patients in the emergency department and intensive care unit.
RESULTS: A total of 158 patients were enrolled. No significant difference was found in time to completion, needle re-direction, or needle re-insertion when using POCUS when compared to the traditional method of palpation.
CONCLUSION: Consistent with findings of previous studies, our data indicate that there was no observed benefit of using POCUS to identify pre-procedure landmarks when performing an LP.

Entities:  

Keywords:  Lumbar puncture; Spinal tap; Ultrasound

Year:  2016        PMID： 27547275      PMCID： PMC4988105          DOI： 10.5847/wjem.j.1920-8642.2016.03.002

Source DB:  PubMed          Journal:  World J Emerg Med        ISSN： 1920-8642


  17 in total

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