Computer-modified paramedian approach technique reduces failures and alleviates pain in lumbar puncture: a prospective comparative study.

ABSTRACT:

Background

The conventional midline approach for lumbar puncture (MAT-LP) has a relatively low success rate of 70%. The paramedian approach can increase the effective puncture area and success rate but lacks standardized guidelines. This study evaluated a computer-modified paramedian approach technique (CMPAT) to optimize lumbar puncture using computational techniques.

Methods

In this prospective study, 120 patients underwent CMPAT-LP (n = 60) or MAT-LP (n = 60). Puncture failure was defined after 6 attempts. Failure rate, number of attempts, pain score, and complications were compared. Subgroup analysis was conducted for age (≥ 50 years).

Results

No significant demographic differences existed between groups. Failure rates were 3.3% for CMPAT vs. 13.3% f

SUBMITTER: Zhuang YD 

PROVIDER: S-EPMC10838980 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature