How to use… lumbar puncture in children

Schulga, Peter; Grattan, Rosemary; Napier, Craig; Babiker, Mohamed O E

doi:10.1136/archdischild-2014-307600

Cited by 19 publications

(16 citation statements)

References 22 publications

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“…Corresponding false detection rates were 11% and 19%. The somewhat poorer performance in paediatric procedures could be expected because of smaller anatomy and different tactile feedback from neonatal tissues, and poorer ability of neonates and infants to stay still during the procedure (Bonadio et al, 2014;Schulga et al, 2015;Srinisavan et al, 2012). The present 30% proportion of unsuccessful paediatric punctures complies well with the range from 7% to 69% reported in the literature (Auerbach et al, 2018;Baxter et al, 2006;Glatstein et al, 2011;Kessler et al, 2013;Neal et al, 2017Nigrovic et al, 2007.…”

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Real‐time detection of cerebrospinal fluid with bioimpedance needle in paediatric lumbar puncture

Sievänen¹,

Kari²,

Halonen³

et al. 2021

Clin Physio Funct Imaging

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Lumbar puncture is an established clinical procedure to get a diagnostic sample of cerebrospinal fluid (CSF) or to inject anaesthetics or intrathecal therapy into the subarachnoid space (Bonadio et al, 2014;Schulga et al., 2015; Srinisavan et al., 2012). Laboratory analyses of CSF can reveal many severe diseases of the central nervous system, including infections and inflammatory, haemorrhagic or neoplastic diseases.Lumbar puncture is occasionally challenging to perform. Advancing a thin, flexible needle into the spinal canal through narrow spaces between lumbar bony structures without seeing the location of the needle tip or its direction while interpreting the tactile feedback from

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Section: Discussionmentioning

confidence: 99%

“…

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mentioning

confidence: 99%

Real‐time detection of cerebrospinal fluid with bioimpedance needle in paediatric lumbar puncture

Sievänen¹,

Kari²,

Halonen³

et al. 2021

Clin Physio Funct Imaging

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“…The correct answers were assigned 10 points each, and incorrect answers were assigned zero, and so the maximum possible score was 60. The knowledge score best correct answers were based on experts’ careful evidence review of the epidemiological consequences of LP in both adults and children [ 11 , 12 ].…”

Section: Methodsmentioning

confidence: 99%

Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

Temsah

Al‐Eyadhy

Alsohime

et al. 2021

International Journal of Pediatrics and Adolescent Medicine

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Background Lumbar puncture (LP) remains an essential diagnostic procedure for neurological and infectious diseases. However, it remains a source of anxiety to patients and families. This research aimed to assess the impact of a newly developed educational simplified video about LP, in the parents’ native language, that is tailored to their social background and beliefs and to assess whether it can facilitate their consent for the procedure. Methods This prospective, interventional study was conducted at the outpatient pediatric clinics at a teaching hospital. The conventional arm used verbal explanation about LP. The second method utilized a standardized video, having the same information as the conventional arm, with streaming of graphic depictions. Parents’ knowledge and perceived LP risks were measured before and after the intervention. Results Two hundred and one parents were enrolled, with no significant differences in the socio-demographic and baseline characteristics. Both verbal and video-based counseling were found to provide a statistically significant increase in knowledge scores, and a Wilcoxon signed-rank test showed that knowledge gains for both groups were statistically significant (Verbal Explanation: W = 2693, n = 83, P < .001 and Video: W = 5538, n = 117, P < .001). However, the conventional verbal counseling resulted in more consistent gain of knowledge (SD = 14.5) as compared to the video group (SD = 18.94). The video group reported higher perceived risk (Mean 8.2, SD 3.59) than the verbal explanation group (Mean 7.12, SD 2.51). The less educated parents perceived LP procedure to be of significantly higher risk after watching the video ( P < .001). It was found that 73.6% of persons with perceived intention to refuse LP changed their opinion after either of the counseling interventions, with significant opinion difference pre- and post-counseling intervention ( P value .002). Conclusions Video education in parents’ native language about LP is as effective as conventional verbal education for informed consent, with the additional advantage of reproducibility and more illustrations to give parents better insight. However, this video should be followed by direct interaction with parents to ensure their full understanding and address any further concerns.

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“…The knowledge score best correct answers were based on experts' careful evidence review of the epidemiological consequences of LP in both adults and children. [8][9] Additionally, the respondents were asked to answer seven questions that tapped Perceived Risk of LP complications pre and post-education on a 0-4 Likert-like scale (coded as zero uncertain, 1 Never, 2 sometimes, 3 often, and 4 very often). This questionnaire included the followings: LP can have very severe side effects, LP can lead to Paralysis, LP can lead to enuresis, LP can lead to sterility, LP can lead to scoliosis, LP can Lead to meningitis, general anesthesia is needed to obtain LP in children, and lastly, LP can lead to chronic back pains.…”

Section: Assessment Measuresmentioning

confidence: 99%

Effects of Lumbar Puncture Educational Video on Parental Knowledge, Perceived Risks and Consenting Acceptability

Temsah

Eyadhy

Alsohime

et al. 2020

Preprint

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Objectives: To assess a newly developed educational video about lumbar puncture (LP), in the parents' native language, tailored to their social background, and whether it facilitates their consent for LP. Methods: The randomized, controlled trial was conducted at outpatient pediatric clinics at a teaching hospital, Riyadh, Saudi Arabia. The conventional arm used LP verbal explanation. The second group utilized a standardized video with similar information. Parents' knowledge, perceived LP risks, and willingness to consent were measured, before and after the intervention. Results: We enrolled 201 parents, with similar baseline characteristics. Both groups had an increase in knowledge scores, with Wilcoxon signed-rank test showing significant knowledge gains (Verbal Explanation: W=2693, n=83, P<0.001, and Video: W=5538, n=117, P< 0.001). However, the conventional verbal counseling resulted in more consistent knowledge gain (SD=14.5) as compared to the video group (SD= 18.94). The video group reported higher perceived risk (Mean 8.2, SD 3.59) than the verbal group (mean 7.12, SD 2.51). The less-educated parents perceived higher LP risk after watching the video (P< 0.001). Conclusions: LP video education in parents' native language is as effective as conventional verbal education for the informed consent, with the additional advantage of reproducibility and more illustrations. While videos could facillitate remote procedural consenting process during infectious disease outbreaks; however, this should be followed by direct verbal interaction with parents, to ensure their full understanding and address any further concerns.

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How to use… lumbar puncture in children

Cited by 19 publications

References 22 publications

Real‐time detection of cerebrospinal fluid with bioimpedance needle in paediatric lumbar puncture

Real‐time detection of cerebrospinal fluid with bioimpedance needle in paediatric lumbar puncture

Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

Effects of Lumbar Puncture Educational Video on Parental Knowledge, Perceived Risks and Consenting Acceptability

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