Lumbar Puncture in the prone position for Low Birth Weight Neonates

BMC Pediatrics

Yunfeng Zhang¹  Wanxu Guo²  Di Chi²  Min Qian²  Xiaoqi Zhao²  Jinpu Zhang²  Fengmin Mao²  Di Ma²  Junjiao Liu² 

[1] Children’s Disease Diagnosis and Treatment Center, the Second Hospital of Jilin University, 218 Ziqiang Street, 130022, Changchun, Jilin Province, China;Department of Neonatology, the Second Hospital of Jilin University, 130022, Changchun, China;

关键词: Lumbar puncture;    lateral decubitus position;    prone position;    success rate;    NIAPAS;   

DOI  :  10.1186/s12887-021-03071-7

来源: Springer

【 摘 要 】

BackgroundLumbar 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.MethodsThe 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.ResultsThe 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).ConclusionThis 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 registrationRegistration number, ChiCTR2100049923; Date of Registration, August 11, 2021; Retrospectively registered.

【 授权许可】

CC BY