Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad
Background: Lumbar puncture is a procedure that is frequently performed in the pediatric practice. Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq. Methods: A descriptive cross...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2020-11-01
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| Series: | مجلة كلية الطب |
| Subjects: | |
| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1733 |
| _version_ | 1827393769648947200 |
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| author | nebal wael saadi Dhulfiqar A. Mohammed Yousif W. Kareem Abdullah K. Jawad |
| author_facet | nebal wael saadi Dhulfiqar A. Mohammed Yousif W. Kareem Abdullah K. Jawad |
| author_sort | nebal wael saadi |
| collection | DOAJ |
| description | Background: Lumbar puncture is a procedure that is frequently performed in the pediatric practice.
Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq.
Methods: A descriptive cross-sectional study was conducted in the period from April to September, 2017. A self-prepared questionnaire was used to collect the data. It included 32 items, which were divided into three sections: Residents doctors' information (3 items), patient's information (2 items) and procedure’s information (27 items).
Results: The total number of performed procedures was 103, of which 51 (49.5%) were performed in the oncology ward. About half (50, 48.6%) of the patients were preschool-aged. Lumbar puncture was indicated for diagnostic purposes in 52(50.5%) cases. Nearly two thirds (67, 65.9%) of the procedures was performed by senior residents (3rd/4th Board residents). A written consent was obtained in only one case, the couch sheet were not renewed in 92 (93.9%) cases, a drape were not used in 92 (93.9%) cases, sitting upright position was assumed in 90 (91.8%) cases, gloves were worn by the doctor in all cases, anesthesia was used in 47 (48%) cases, antiseptics were used in 97 (99%) cases ,one holder was noted in 93 (94.8%) cases ,SpinocanQuincke and 22 Gage needle type was used in 98 (100%) cases, one entry attempt per procedure was reported in 79 (80.6%) cases and no documentation in the patients’ notes was reported in any of the procedures.
Conclusion: Lumbar puncture load was found in the oncology ward both for the patients and the residents. Safety was considered but was suboptimal in all wards. |
| first_indexed | 2024-03-08T17:55:12Z |
| format | Article |
| id | doaj.art-5eeeb1197c1040caba47f3ac0824b125 |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T17:55:12Z |
| publishDate | 2020-11-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-5eeeb1197c1040caba47f3ac0824b1252024-01-02T05:17:42ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572020-11-0162310.32007/jfacmedbagdad.6231733Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdadnebal wael saadi0Dhulfiqar A. MohammedYousif W. KareemAbdullah K. Jawaddepartment of neonatal , college of medicine, university of BaghdadBackground: Lumbar puncture is a procedure that is frequently performed in the pediatric practice. Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq. Methods: A descriptive cross-sectional study was conducted in the period from April to September, 2017. A self-prepared questionnaire was used to collect the data. It included 32 items, which were divided into three sections: Residents doctors' information (3 items), patient's information (2 items) and procedure’s information (27 items). Results: The total number of performed procedures was 103, of which 51 (49.5%) were performed in the oncology ward. About half (50, 48.6%) of the patients were preschool-aged. Lumbar puncture was indicated for diagnostic purposes in 52(50.5%) cases. Nearly two thirds (67, 65.9%) of the procedures was performed by senior residents (3rd/4th Board residents). A written consent was obtained in only one case, the couch sheet were not renewed in 92 (93.9%) cases, a drape were not used in 92 (93.9%) cases, sitting upright position was assumed in 90 (91.8%) cases, gloves were worn by the doctor in all cases, anesthesia was used in 47 (48%) cases, antiseptics were used in 97 (99%) cases ,one holder was noted in 93 (94.8%) cases ,SpinocanQuincke and 22 Gage needle type was used in 98 (100%) cases, one entry attempt per procedure was reported in 79 (80.6%) cases and no documentation in the patients’ notes was reported in any of the procedures. Conclusion: Lumbar puncture load was found in the oncology ward both for the patients and the residents. Safety was considered but was suboptimal in all wards.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1733Lumbar ouncture , pediatrics , baghdad |
| spellingShingle | nebal wael saadi Dhulfiqar A. Mohammed Yousif W. Kareem Abdullah K. Jawad Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad مجلة كلية الطب Lumbar ouncture , pediatrics , baghdad |
| title | Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad |
| title_full | Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad |
| title_fullStr | Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad |
| title_full_unstemmed | Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad |
| title_short | Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad |
| title_sort | practices in performing lumbar puncture procedure in the children welfare teaching hospital baghdad |
| topic | Lumbar ouncture , pediatrics , baghdad |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1733 |
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