Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Ultrasound assisted Lumbar Puncture: Neonates randomized to the intervention group after ruling out the exclusion criteria ( review of Haematology and Cranial Ultrasound) will be subje
Sponsors
Ch Pradeep Chandu
Eligibility
Inclusion criteria
Inclusion criteria: All Neonates >=28 Weeks in whom the treating team decides a CSF analysis is required for diagnosis will be included in the study
Exclusion criteria
Exclusion criteria: 1.Thrombocytopenia 2.Diagnosed Coagulopathies including deranged INR with or without bleeding 3.Cardio respiratory compromise evidenced by need of more than one inotrope or single inotrope with dose more than 15 microgram/kg/min infusion. 4.Congenital lumbosacral Malformations such as Neural tube defects 5.Infection or Exfoliation at the spinal area of performing LP 6.Diagnosed dysgenic brain on bedside Ultrasonography 7.Grade II IVH or more 8.Neonate on Invasive ventilator support. 9.Babies requiring LP for more than once 10.Any other factor that is contraindication to the procedure for LP
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful Lumbar puncture (defined as no dry tap and CSF RBC less than 1000 per mm3)Timepoint: Baseline(Csf collected will be sent for cell count and report will be collected within few hours) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Time taken for the procedure(from the point of contact of USG probe with skin till obtainment of CSF in intervention method and point of contact of hand with skin after sterilisation till obtainment of CSF in Control method) 2. Pain assessment using Neonatal Infant Pain Score (NIPS). 3.USG estimation of the point of formation of Conus for different gestation. 4.USG estimation of the Depth of insertion in different gestation. Timepoint: Baseline(All secondary outcomes will be recorded during time of procedure) | — |
Countries
India
Contacts
Public ContactCh Pradeep Chandu
Maulana Azad Medical College
Outcome results
None listed