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We could not get physicians in the ED to enroll patients.
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Does the use of ultrasound facilitate a lumbar puncture by reducing the number of difficult and traumatic lumbar punctures?
This is a controlled trial randomizing lumbar puncture patients to groups utilizing ultrasound to preview the bony structures of the spine versus using standard palpation technique. The goal is to determine the helpfulness of ultrasound in performing lumbar punctures (to reduce difficult and traumatic lumbar punctures) among patients whose spines cannot be easily visualized.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Ultrasound | No Intervention | Standard LP without ultrasound use | |
| Ultrasound Use | Experimental | Ultrasound used to assess spine and best location for lumbar puncture. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Device | Ultrasound used to visualize spine to determine best location for lumbar puncture. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 3 or more needle sticks to successfully complete lumbar puncture | We collect the data immediately | |
| Greater than 400 red blood cells in the cerebral spinal fluid | Data is obtained within 1 hour when the lab reports the results of the CSF analysis |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kaushal Shah, MD | St. Luke's-Roosevelt Hospital Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St.Luke's-Roosevelt Hospital | New York | New York | 10025 | United States |
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| ID | Term |
|---|---|
| D006261 | Headache |
| D008581 | Meningitis |
| D013345 | Subarachnoid Hemorrhage |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| D000090862 | Neuroinflammatory Diseases |
| D009422 | Nervous System Diseases |
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |