Lumbar Puncture in the prone position for Low Birth Weight Neonates
Abstract Background Lumbar puncture in the lateral decubitus position will make the neonates uncomfortable and is likely to cause position change and unstable vital signs, and the application of sedative drugs will cause adverse effects. This study explored a novel method for lumbar puncture in the...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-021-03071-7 |
| _version_ | 1819229285137776640 |
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| author | Wanxu Guo Di Ma Min Qian Xiaoqi Zhao Jinpu Zhang Junjiao Liu Di Chi Fengmin Mao Yunfeng Zhang |
| author_facet | Wanxu Guo Di Ma Min Qian Xiaoqi Zhao Jinpu Zhang Junjiao Liu Di Chi Fengmin Mao Yunfeng Zhang |
| author_sort | Wanxu Guo |
| collection | DOAJ |
| description | Abstract Background Lumbar puncture in the lateral decubitus position will make the neonates uncomfortable and is likely to cause position change and unstable vital signs, and the application of sedative drugs will cause adverse effects. This study explored a novel method for lumbar puncture in the prone position for low weight neonates. Methods The neonates were randomly assigned into the standard position group receiving lumbar puncture in the lateral decubitus position; and the improved position group receiving lumbar puncture in the prone position. The success rate of first time attempts and the overall success rate of lumbar puncture, incidence of adverse effects, NIAPAS scores were collected and compared between these two groups. The difference in success rate and adverse effects incidence rate was analysed through Chi-square. Student’s t-test was used for the test of NIAPAS rating. Results The improved position group had a higher success rate of first attempt and overall success rate, significantly lower incidence of adverse effect and lower NIAPAS scores than those of the standard position group (P<0.05). Conclusion This lumbar puncture in the prone position is safer, more effective, and more comfortable for preterm neonates and those with low birth weight. Thus, this method is worth of further promotion. Trial registration Registration number, ChiCTR2100049923; Date of Registration, August 11, 2021; Retrospectively registered. |
| first_indexed | 2024-12-23T11:10:44Z |
| format | Article |
| id | doaj.art-d896b34f47994029ac3db6264d5081e1 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-23T11:10:44Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-d896b34f47994029ac3db6264d5081e12022-12-21T17:49:21ZengBMCBMC Pediatrics1471-24312022-01-012211710.1186/s12887-021-03071-7Lumbar Puncture in the prone position for Low Birth Weight NeonatesWanxu Guo0Di Ma1Min Qian2Xiaoqi Zhao3Jinpu Zhang4Junjiao Liu5Di Chi6Fengmin Mao7Yunfeng Zhang8Department of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityDepartment of Neonatology, the Second Hospital of Jilin UniversityChildren’s Disease Diagnosis and Treatment Center, the Second Hospital of Jilin UniversityAbstract Background Lumbar puncture in the lateral decubitus position will make the neonates uncomfortable and is likely to cause position change and unstable vital signs, and the application of sedative drugs will cause adverse effects. This study explored a novel method for lumbar puncture in the prone position for low weight neonates. Methods The neonates were randomly assigned into the standard position group receiving lumbar puncture in the lateral decubitus position; and the improved position group receiving lumbar puncture in the prone position. The success rate of first time attempts and the overall success rate of lumbar puncture, incidence of adverse effects, NIAPAS scores were collected and compared between these two groups. The difference in success rate and adverse effects incidence rate was analysed through Chi-square. Student’s t-test was used for the test of NIAPAS rating. Results The improved position group had a higher success rate of first attempt and overall success rate, significantly lower incidence of adverse effect and lower NIAPAS scores than those of the standard position group (P<0.05). Conclusion This lumbar puncture in the prone position is safer, more effective, and more comfortable for preterm neonates and those with low birth weight. Thus, this method is worth of further promotion. Trial registration Registration number, ChiCTR2100049923; Date of Registration, August 11, 2021; Retrospectively registered.https://doi.org/10.1186/s12887-021-03071-7Lumbar puncturelateral decubitus positionprone positionsuccess rateNIAPAS |
| spellingShingle | Wanxu Guo Di Ma Min Qian Xiaoqi Zhao Jinpu Zhang Junjiao Liu Di Chi Fengmin Mao Yunfeng Zhang Lumbar Puncture in the prone position for Low Birth Weight Neonates BMC Pediatrics Lumbar puncture lateral decubitus position prone position success rate NIAPAS |
| title | Lumbar Puncture in the prone position for Low Birth Weight Neonates |
| title_full | Lumbar Puncture in the prone position for Low Birth Weight Neonates |
| title_fullStr | Lumbar Puncture in the prone position for Low Birth Weight Neonates |
| title_full_unstemmed | Lumbar Puncture in the prone position for Low Birth Weight Neonates |
| title_short | Lumbar Puncture in the prone position for Low Birth Weight Neonates |
| title_sort | lumbar puncture in the prone position for low birth weight neonates |
| topic | Lumbar puncture lateral decubitus position prone position success rate NIAPAS |
| url | https://doi.org/10.1186/s12887-021-03071-7 |
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