Lumbar Puncture : Indications, Complications, Technique and CSF Analysis in Pediatric Patients

Alsuwailem, Mahdi Hassan; Alkhatem, Ahmed Hassan; Alshabib, Abdullah Ahmed

doi:10.12816/0043818

Cited by 4 publications

(7 citation statements)

References 18 publications

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“…The interviews were performed after the examination of the children and lasted for approximately 10 minutes. Questions were read out to the participant from an anonymous questionnaire adapted from previous studies [3][4][5] and recorded the participant's responses on a questionnaire form. The participants were asked open-ended, yes/no, and multiple-choice questions about sociodemographic data; children's previous history as to whether LP had been performed previously; and parental beliefs.…”

Section: Methodsmentioning

confidence: 99%

“…1,2 Delays in the administration of antibiotics can increase morbidity and mortality in patients with bacterial meningitis or herpes encephalitis. 3 When concerned about infection, risks of not performing an LP are higher than those associated with the procedure. 3 Lumbar puncture is fundamental for diagnosis and treatment; however, some parents do not provide consent for their children to undergo the procedure, which can make diagnosis and determination of the optimal treatment difficult.…”

mentioning

confidence: 99%

“…3 When concerned about infection, risks of not performing an LP are higher than those associated with the procedure. 3 Lumbar puncture is fundamental for diagnosis and treatment; however, some parents do not provide consent for their children to undergo the procedure, which can make diagnosis and determination of the optimal treatment difficult. Prior studies report 25% to 44% parents refuse LP when the procedure is indicated for their children.…”

mentioning

confidence: 99%

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Parental Attitudes and Knowledge About Lumbar Puncture in Children

Açoğlu¹,

Oğuz²,

Sarı³

et al. 2018

Pediatr Emer Care

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Objectives: Lumbar puncture (LP) is fundamental for diagnosis and treatment; however, some parents do not provide consent for their children to undergo the procedure, which can make diagnosis and determination of the optimal treatment difficult. The present study aimed to describe the level of knowledge and attitudes toward LP of parents whose children were scheduled to undergo the procedure.Methods: A prospective cross-sectional descriptive study of a convenience sample of parents of 84 children aged 2 months to 17 years scheduled for LP at a single academic children's hospital between 2015 and 2017. Parents were administered a written survey and interviewed by a physician other than the person who did the LP. Data on parental level of knowledge and attitudes regarding LP, in addition to reasons for refusal, were collected. The parents of 84 patients scheduled for LP due to various indications were administered a face-to-face survey interview. The survey was used to collect parental demographic data, as well as opinions and knowledge about LP and postinterventional complications. Results:The mean age of the 84 patients (57% male and 43% female) was 6.4 ± 5.17 years. Lumbar puncture was planned for the presumptive diagnosis of neurological disease in 45.25% of the patients, central nervous system infection in 45.25%, and acute encephalopathy in 9.5%. Among the parents, 65% (n = 55) had no knowledge or attitude about LP prior to the survey interview. The most common parental concern related to LP was paralysis (25%), followed by infertility (2%), mental retardation (1%), and disease progression (1%). Only 4.7% of the parents did not provide consent for their child to undergo LP. Conclusions:We found that most parents had little knowledge about LP, and the most common parental concern was paralysis. Despite this, in our study, only 5% of parents did not consent to LP.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Parental Attitudes and Knowledge About Lumbar Puncture in Children

Açoğlu¹,

Oğuz²,

Sarı³

et al. 2018

Pediatr Emer Care

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“…Lumbar puncture (LP) is one of the methods in Neurology that is quite often performed for various purposes, one of which is for taking Liquor Cerebrospinal (LCS). 1 Lumbar puncture is useful as a diagnostic and therapeutic method in diseases involving the central nervous system. Lumbar puncture procedures include subarachnoid space pricking through the L3-L4 or L4-L5 intervertebral.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Lidocaine Cream for Reducing Pain Sensation of Pre Injection of Subcutaneous Lidocaine in Lumbal Puncture Diagnostic and Therapeutic Procedures

Christin

Okparasta

Susilaningrum

2020

JKK

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Background: Lumbar puncture is one of the methods that is quite often performed for various purposes. There is no global agreement regarding the use of local anesthesia in subcutaneous or topical infiltration prior to LP. Topical anesthesia injection in lumbar puncture still cause pain, there should be needing additional topical anesthesia. Aim: To compare the effectiveness between lidocaine cream and placebo cream prior lidocaine subcutaneous injection to reduce pain sensation in LP procedures. Methods: The study was conducted in July-October 2019, randomized and clinical trial (RCT) by sampling technique using block randomization method. Sample was divided into two group. Pain scale was assessed when the needle touched the skin, subcutaneously and overall in both groups. Data analysis using SPSS ver 22 for windows. Results: The average age of subjects is 38.50±14.43 years and majority are women (57.9%). There is significance difference of pain scale between groups when needle touched the skin (p=0,035), meanwhile, there is not significance difference when needle subcutaneously (p=0,061) and overall (p=0,182) in both groups. Conclusion: Lidocaine cream has been shown to be significantly more effective in reducing pain pre lidocaine subcutaneous injection compare to placebo cream when needle touched the skin.

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“…It was first introduced by Heinrich Quincke in 1891 to relieve elevated intracranial pressure in cases of meningitis. (1)LP is often performed to examine the CSF in infectious and non-infectious disorders of CNS like blood dyscrasias (leukemia and lymphoma), hemorrhage, some metabolic disorders and to measure CSF pressure if there is clinical suspicion of intracranial hypertension and (2,3,4)The procedure is commonly done for two purposes: Diagnostic and therapeutic, for example to administer intrathecal chemotherapy, and therefore encountered often in emergency, neurology and oncology wards. (3)Despite being a comparatively invasive procedure, it can cause some inconsequential complications, like headache, low back pain, radicular pain or numbness and bleeding.…”

Section: Introductionmentioning

confidence: 99%

Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad

saadi

Mohammed²,

Kareem³

et al. 2020

JFacMedBagdad

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Background: Lumbar puncture is a procedure that is frequently performed in the pediatric practice.Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq.Methods: A descriptive cross-sectional study was conducted in the period from April to September, 2017. A self-prepared questionnaire was used to collect the data. It included 32 items, which were divided into three sections: Residents doctors' information (3 items), patient's information (2 items) and procedure’s information (27 items).Results: The total number of performed procedures was 103, of which 51 (49.5%) were performed in the oncology ward. About half (50, 48.6%) of the patients were preschool-aged. Lumbar puncture was indicated for diagnostic purposes in 52(50.5%) cases. Nearly two thirds (67, 65.9%) of the procedures was performed by senior residents (3rd/4th Board residents). A written consent was obtained in only one case, the couch sheet were not renewed in 92 (93.9%) cases, a drape were not used in 92 (93.9%) cases, sitting upright position was assumed in 90 (91.8%) cases, gloves were worn by the doctor in all cases, anesthesia was used in 47 (48%) cases, antiseptics were used in 97 (99%) cases ,one holder was noted in 93 (94.8%) cases ,SpinocanQuincke and 22 Gage needle type was used in 98 (100%) cases, one entry attempt per procedure was reported in 79 (80.6%) cases and no documentation in the patients’ notes was reported in any of the procedures.Conclusion: Lumbar puncture load was found in the oncology ward both for the patients and the residents. Safety was considered but was suboptimal in all wards.

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Lumbar Puncture : Indications, Complications, Technique and CSF Analysis in Pediatric Patients

Cited by 4 publications

References 18 publications

Parental Attitudes and Knowledge About Lumbar Puncture in Children

Parental Attitudes and Knowledge About Lumbar Puncture in Children

Effectiveness of Lidocaine Cream for Reducing Pain Sensation of Pre Injection of Subcutaneous Lidocaine in Lumbal Puncture Diagnostic and Therapeutic Procedures

Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad

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