|
KMID : 0385920090200030304
|
|
Journal of the Korean Society of Emergency Medicine
2009 Volume.20 No. 3 p.304 ~ p.309
|
|
|
Comparison of Ultrasound-assisted Lumbar Puncture with Lumbar Puncture using Palpation of Landmarks in Aged Patients in an Emergency Center
|
|
Lee Jin-Woong
Yoo In-Sool
Kim Seung-Hwan
Ryu Seung
You Yeon-Ho
Lee Won-Suk
Jeong Won-Joon
Oh Se-Gwang
Koo Do-Hyun
Cho Yong-Chul
|
|
|
Abstract
|
|
|
Purpose: We evaluated the utility of ultrasound-assisted lumbar puncture (UALP) in aged patients who visited our emergency center.
Methods: This was a prospective, randomized, controlled study. From July to December 2007 we enrolled patients who were at least 60 years of age . Patients were divided into a group that had lumbar puncture (LP) using landmark palpation (group A) and a UALP group (group B). We did between-group comparisons for the number of attempts, procedure time, the number of LP failures, and whether traumatic LP was done. For all hypotheses, a significance level of 0.05 was used. Variables are reported as percentages and mean ± standard deviation.
Results: We enrolled sixty aged patients: 30 in group A and 30 in group B. There were 5 cases of LP failure in group A and none in group B (p<0.05). There were 6 cases of traumatic lumbar puncture in group A, and one case in group B (p=0.05). The number of attempts was 3.3±2.4 in group A and 1.5±0.8 in group B (p<0.05). It took 10.6±7.7 minutes to finish each LP in group A compared to 5.3±4.2 minutes in group B (p<0.05).
Conclusion: The use of ultrasound-assisted lumbar puncture significantly reduces the number of failures, the number of attempts, and the procedure time in aged patients.
|
|
|
KEYWORD
|
|
|
Ultrasonography, Spinal puncture, Aged
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|