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Ultrasound for routine lumbar puncture
- Source :
- Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 21(2)
- Publication Year :
- 2013
-
Abstract
- Objectives: The objective was to determine if use of ultrasound (US) by emergency physicians (EPs) to localize spinal landmarks improves the performance of lumbar puncture (LP). Methods: This was a prospective, randomized, controlled study conducted in a county teaching hospital. Subjects, adults 18 years of age or older who were to receive LPs for routine clinical care in the emergency department (ED), were randomized either to undergo US localization of the puncture site or to have the puncture site determined by palpation of spinal landmarks. Primary outcomes were the number of needle insertion attempts and success of the procedure. Secondary outcomes were pain associated with the procedure, time to perform the procedure, number of traumatic taps, and patient satisfaction with the procedure. Results: One-hundred patients were enrolled in the study, with 50 in each study group. There were no significant differences between the two groups in terms of age, sex, body mass index (BMI), indication for LP, or ease of palpation of landmarks. For both primary outcomes and secondary outcomes there were no significant differences between those undergoing US localization and those with palpation alone. Conclusions: These data do not suggest any advantage to the routine use of US localization for LP insertion, although further study may be warranted to look for benefit in the difficult to palpate or obese patient subgroups. ACADEMIC EMERGENCY MEDICINE 2014; 21:130–136 © 2014 by the Society for Academic Emergency Medicine
- Subjects :
- Adult
Male
medicine.medical_specialty
MEDLINE
Palpation
Spinal Puncture
law.invention
Patient satisfaction
Randomized controlled trial
law
Outcome Assessment, Health Care
medicine
Humans
Prospective Studies
Prospective cohort study
Ultrasonography, Interventional
medicine.diagnostic_test
Lumbar puncture
business.industry
General Medicine
Emergency department
Middle Aged
Surgery
Patient Satisfaction
Emergency Medicine
Physical therapy
Female
Anatomic Landmarks
business
Emergency Service, Hospital
Body mass index
Subjects
Details
- ISSN :
- 15532712
- Volume :
- 21
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
- Accession number :
- edsair.doi.dedup.....3db65203ee1ac7edd1459067d27944c0