Leukemia
Conditions
Brief summary
Hematology-oncology patients may require frequent lumbar puncture for diagnosis, assessment and therapy. When LP is difficult, the patient may endure multiple attempts, prolonged anesthesia time, and with failure of LP may require fluoroscopy-guidance with associated radiation exposure. This investigation will evaluate lumbar punctures performed in the intraoperative setting by oncologists with ultrasound guidance performed by the anesthesiologist in the leukemic pediatric population. The investigators hypothesis is that anesthesiologist guided ultrasound assistance will decrease intraoperative time, number of attempts and need to have the procedure done with fluoroscopy minimizing radiation exposure.
Interventions
PROCEDUREUltrasound
Ultrasound guidance for difficult lumbar punctures in the leukemic pediatric population.
Sponsors
Nationwide Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All patients undergoing LP as per Heme-Onc clinic who have been deemed to be difficult LP placements.
Exclusion criteria
* Patients having concomitant procedures (bone marrow bx, etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of punctures | 1 day | Number of punctures required to obtain cerebral spinal fluid. |
Countries
United States
Outcome results
None listed