1.Prospective evaluation of point-of-care ultrasound for pre-procedure identification of landmarks versus traditional palpation for lumbar puncture
Lahham SHADI ; Schmalbach PRIEL ; Wilson P. SEAN ; Ludeman LORI ; Subeh MOHAMMAD ; Chao JOCELYN ; Albadawi NADEEM ; Mohammadi NIKI ; Fox C. JOHN
World Journal of Emergency Medicine 2016;7(3):173-177
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 identifi cation 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 signifi cant 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 fi ndings of previous studies, our data indicate that there was no observed benefi t of using POCUS to identify pre-procedure landmarks when performing an LP.
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