Article ; Online: Material and sedation-analgesia in the neonatal lumbar puncture procedure.
2021 Volume 95, Issue 4, Page(s) 246–252
Abstract: Introduction: Lumbar puncture (LP) is a frequent procedure during the neonatal period. Correctly performing this technique can avoid many of its complications.: Objective: To evaluate the LP procedure in neonates in Spanish hospitals, studying the ... ...
Abstract | Introduction: Lumbar puncture (LP) is a frequent procedure during the neonatal period. Correctly performing this technique can avoid many of its complications. Objective: To evaluate the LP procedure in neonates in Spanish hospitals, studying the type of material and the sedation-analgesia used. Material and methods: Cross-sectional study conducted in Spain gathering data through a survey research distributed by email through the Segurneo-SEN Hospital Network and the Spanish Neonatal Society. Data on the LP technique in neonates were collected. Results: A total of 301 participants were analysed. Most professionals used a trocar needle with a stylet as the first option (89.7%); however, when the LP failed or was blood-stained, 32.2% changed the type of needle. A total of 143 doctors gave their subjective feeling about the type of needle: they only use trocar needles with stylet (41.3%), the technique is easier using scalp-vein needles (32.2%), there is less probability of a blood-stained LP, or failed using scalp-vein needles (7.7%), they choose the type of needle depending on the size of the newborn (10.5%), indifference when using one type or another needle (8.4%). Almost all (99%) of the surveyed doctors used some type of analgesia. The most widely used measures were topical anaesthetics (90.3%) and sucrose (82.2%). Conclusions: Currently, the LP procedure in the neonatal period is mainly performed with a trocar needle with a stylet and with the widespread use of different analgesic measures. |
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MeSH term(s) | Analgesia ; Cross-Sectional Studies ; Humans ; Infant, Newborn ; Pain ; Pain Management ; Spinal Puncture |
Language | English |
Publishing date | 2021-09-11 |
Publishing country | Netherlands |
Document type | Journal Article |
ZDB-ID | 2830901-7 |
ISSN | 2341-2879 ; 2341-2879 |
ISSN (online) | 2341-2879 |
ISSN | 2341-2879 |
DOI | 10.1016/j.anpede.2020.07.023 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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