Real-time ultrasound-guided lumbar puncture in the neonatal intensive care unit
| Autor: | María V. Fraga, Jason Z. Stoller |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Traumatic lumbar puncture Neonatal intensive care unit medicine.diagnostic_test Lumbar puncture business.industry Ultrasound Obstetrics and Gynecology Real time ultrasound Retrospective cohort study Spinal Puncture Anesthesia Pediatrics Perinatology and Child Health medicine Neonatology business |
| Zdroj: | Journal of Perinatology. 41:2495-2498 |
| ISSN: | 1476-5543 0743-8346 |
| Popis: | To determine the rates of traumatic lumbar puncture (LP) and overall success rates using the real-time ultrasound-guided technique when performed by a neonatal point-of-care ultrasound provider. Retrospective observational study of 17 infants in the neonatal intensive care unit who underwent a real-time ultrasound-guided LP between March 2015 and November 2016. Spearman’s correlation was calculated. The first attempt and overall success rates were 65% and 100%, respectively. The rate of nontraumatic LP was 69%. CSF RBC count was inversely correlated with both PMA (Spearman’s correlation coefficient (rs) = −0.74, p = 0.0017) and weight (rs = −0.74, p = 0.0015) at the time of LP. This study is the first to provide evidence of high success rates with real-time ultrasound-guided LP when performed by a neonatologist. Our data demonstrate feasibility in neonates over a broad range of weights, including premature infants as small as 750 g. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink