Health Condition 1: G00- Bacterial meningitis, not elsewhere classified Health Condition 2: G03- Meningitis due to other and unspecified causes Health Condition 3: G01- Meningitis in bacterial diseases classified elsewhere Health Condition 4: G02- Meningitis in other infectious andparasitic diseases classified elsewhere
Conditions
Interventions
Intervention1: Ultrasound assisted lumbar puncture: the ultrasound of the spine will be used preprocedural to identify the optimal intervertebral space and the skin entry point will be marked with a g
Sponsors
Dr Satish Saluja
Dr Prithiviraj P
Eligibility
Inclusion criteria
Inclusion criteria: Neonates admitted to NICU who need lumbar puncture. Neonates up to 44-week Post menstrual age.
Exclusion criteria
Exclusion criteria: Known spinal cord abnormality (e.g., tethered cord, spina bifida, or other developmental defects of the spine and spinal cord). Presence of skin and soft tissue infection at the planned lumbar puncture insertion site. Recent failed LP or traumatic LP attempts within the preceding 48 hours. Recent diagnosis of intraventricular hemorrhage within the preceding 7 days. Neonates with coagulopathy or thrombocytopenia. (less than 50000/microliter) Neonates with cardiorespiratory instability whose condition may be exacerbated by the procedure. Neonates with uncontrolled seizures. Any other contraindications to lumbar puncture as determined by the clinical team. Failure to obtain consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful first attempt lumbar puncture.Timepoint: 24 months | — |
Secondary
| Measure | Time frame |
|---|---|
| overall success rateTimepoint: nil;Number of attemptsTimepoint: nil;Traumatic tapTimepoint: nil;Duration of procedureTimepoint: nil | — |
Countries
India
Contacts
Public ContactDr Prithiviraj
Sir Ganga Ram Hospital
Outcome results
None listed