Randomized Evaluation of a Positioning Pillow for Lumbar Puncture in Paediatric Hematology-Oncology

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00775112
Recruitment Status : Completed
First Posted : October 17, 2008
Last Update Posted : October 17, 2008
Hopital Debrousse
Information provided by:
Centre Leon Berard

Brief Summary:

We have developed a positioning cushion for LP which allows the child to be relaxed in an adequate position, and to maintain this position throughout LP. This study was aimed at evaluating the benefit of the device on the technical quality of LPs, on pain, anxiety, post LP syndrome, and on the satisfaction of children, their parents and caregivers.

The study was a two-centre, open, randomized trial, with two parallel groups. Children aged 2 to 18 years undergoing a LP were eligible, if not included in the study before. Those who had used the cushion before, with a medical reason preventing the use of the cushion, those refusing or whose parents refused could not be included. Randomization was stratified by centre.

Four cushion sizes were available for the age ranges: 2-6 years, 6-10 years, 10-15 and 15-18 years. The primary outcome was the rate of success, defined as a LP reaching its objective at the first attempt, without hemorrhage (visible hemorrhage or RBC > 50/mm3 in the CSF sample). Secondary outcomes included: the child's pain using a visual analogic scale (VAS), parents and caregiver perception of the child's pain (VAS); the children, parents, caregiver and physician performing the LP satisfaction; children cooperation using the "Le Baron Scale", and the occurrence of a post LP syndrome.

Condition or disease Intervention/treatment Phase
Spinal Puncture Device: pillow Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 124 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Randomized Evaluation of a Positioning Pillow for Lumbar Puncture in Paediatric Hematology-Oncology
Study Start Date : July 2004
Primary Completion Date : September 2006

Arm Intervention/treatment
Experimental: 1
with pillow
Device: pillow
use of pillow for lumbar punctures
No Intervention: 2
without pillow

Primary Outcome Measures :
  1. technical quality of the LP, classified as success or failure. [ Time Frame: immediate ]

Secondary Outcome Measures :
  1. child's pain [ Time Frame: immediate ]
  2. satisfaction of the children, parents, caregivers and physician performing the LP assessed using verbal scoring; [ Time Frame: immediate ]
  3. number of attending persons [ Time Frame: immediate ]
  4. symptoms and duration of post-LP syndrome assessed 48 hours after LP [ Time Frame: 48 hours ]

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Ages Eligible for Study:   2 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Children aged 2 to 18 years undergoing an LP

Exclusion Criteria:

  • Children who had already participated or used the LP pillow
  • medical condition (orthopaedic anomaly) contraindicating the use of the LP pillow
  • Parents refusal

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00775112

Hopital Debrousse
Lyon, France, 69005
centre Leon Berard
Lyon, France, 69008
Sponsors and Collaborators
Centre Leon Berard
Hopital Debrousse

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Perrine MAREC-BERARD, Centre Leon Berard Identifier: NCT00775112     History of Changes
Other Study ID Numbers: Lumbar puncture pillow
First Posted: October 17, 2008    Key Record Dates
Last Update Posted: October 17, 2008
Last Verified: October 2008

Keywords provided by Centre Leon Berard:
supportive care
lumbar puncture
childhood disease
pediatric hemato-oncology

Additional relevant MeSH terms:
Wounds and Injuries