Spinal Puncture Complications
Conditions
Brief summary
The study is carried out in a prospective randomized controlled way. In the context of informed understanding from parents, compared with traditional process(no anesthesia; lying without the pillow and fasting water and food for four hours after lumbar puncture), randomly select lidocaine surface anesthesia and postoperative management (lying without the pillow for half an hour after lumbar puncture) . All children will be evaluated by the FLACC(The face,legs,activity,cry,consolability behavioral tool) scale to assess the degree of pain during and after lumbar puncture. Lumber puncture time, success rate and any postoperative condition will be recorded and analyzed.A questionaire about the operation for all parents and children will be investigated in order to establish an optimized lumbar puncture management process.
Detailed description
The purpose of this study is to establish an optimized lumbar puncture management process on the basis of fully understanding of parents and children. An improved process consisting of painless lumbar puncture (LP),less postoperative complications and comfortable LP will be anticipated.
Interventions
DRUGlidocaine
surface anesthesia with lidocaine
PROCEDUREpostoperative management
lying without the pillow for half an hour after lumbar puncture
Sponsors
Beijing Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
* children with indications of lumbar puncture; * voluntarily signed the informed consent
Exclusion criteria
* topical anesthetic skin allergies; * skin infection in lumbar puncture site; * severe intracranial hypertension; * unstable vital signs; * coagulopathy; * intracranial hemorrhage and occupying; * low back pain; * headache and low back pain before lumbar puncture; * past headache after lumbar puncture; * mental retardation, neuropsychiatric symptoms; * children could not immediately act after the lumbar puncture(such as disturbance of consciousness or suffering from underlying diseases or drainage); * the case with repeated puncture in one operation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with Postoperation complications include headache, backache, vomit, cerebral hernia, allergy | up to five days postoperation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| degree of adaptability | intraoperative | evaluated by the FLACC(The face,legs,activity,cry,consolability behavioral tool) scale |
| time of lumbar puncture | intraoperative | — |
| number of puncture | intraoperative | — |
| Composite measure of Vital signs include heart rate, pulse, blood pressure and respiration. | up to four hours postoperation | — |
| comfort degree | up to four hours postoperation | evaluated by the FLACC(The face,legs,activity,cry,consolability behavioral tool) scale |
| whether bad memories exist or not | up to four hours postoperation | A questionaire about the operation for all parents and children will be investigated. |
| success rate | intraoperative | — |
Outcome results
None listed