The Variability of Preferred Infant Lumbar Puncture Insertion Site Between Novice and Experienced Physicians.

ABSTRACT:

Background

We sought to determine if vertebral interspace selection for performance of infant lumbar puncture (LP) varies between less experienced trainees and more experienced pediatric emergency medicine (PEM) attending physicians.

Methods

We performed an observational prospective study using a convenience sample of infants aged 0 to 12 months presenting to a single emergency department. Trainees with limited LP experience (defined as less than 10 infant LPs performed) marked their preferred LP insertion site with an invisible ultraviolet pen. PEM attending physicians subsequently marked their preferred LP insertion site with a visible pen. A trained sonographer then performed a bedside ultrasound to confirm interspace concordance or discordance. Our primary outcome was th

SUBMITTER: Neal JT 

PROVIDER: S-EPMC7163203 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature