A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial

Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a posi...
Ausführliche Beschreibung

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Autor*in:	Marec-Bérard, Perrine [verfasserIn] Bissery, Alvine Kebaïli, Kamila Schell, Matthias Aubert, Françoise Gaillard, Ségolène Rabilloud, Muriel Kassaï, Behrouz Cornu, Catherine

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Lumbar Puncture Paravertebral Muscle Median Visual Analogical Scale Microcellular Foam Lumbar Puncture Procedure

Anmerkung:	© Marec-Bérard et al; licensee BioMed Central Ltd. 2009

Übergeordnetes Werk:	Enthalten in: BMC cancer - London : BioMed Central, 2001, 9(2009), 1 vom: 15. Jan.
Übergeordnetes Werk:	volume:9 ; year:2009 ; number:1 ; day:15 ; month:01

Links:	Volltext

DOI / URN:	10.1186/1471-2407-9-21

Katalog-ID:	SPR02761770X

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245	1	2	\|a A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
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520			\|a Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112).
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allfields	10.1186/1471-2407-9-21 doi (DE-627)SPR02761770X (SPR)1471-2407-9-21-e DE-627 ger DE-627 rakwb eng Marec-Bérard, Perrine verfasserin aut A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Marec-Bérard et al; licensee BioMed Central Ltd. 2009 Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). Lumbar Puncture (dpeaa)DE-He213 Paravertebral Muscle (dpeaa)DE-He213 Median Visual Analogical Scale (dpeaa)DE-He213 Microcellular Foam (dpeaa)DE-He213 Lumbar Puncture Procedure (dpeaa)DE-He213 Bissery, Alvine aut Kebaïli, Kamila aut Schell, Matthias aut Aubert, Françoise aut Gaillard, Ségolène aut Rabilloud, Muriel aut Kassaï, Behrouz aut Cornu, Catherine aut Enthalten in BMC cancer London : BioMed Central, 2001 9(2009), 1 vom: 15. Jan. (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:9 year:2009 number:1 day:15 month:01 https://dx.doi.org/10.1186/1471-2407-9-21 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 15 01
spelling	10.1186/1471-2407-9-21 doi (DE-627)SPR02761770X (SPR)1471-2407-9-21-e DE-627 ger DE-627 rakwb eng Marec-Bérard, Perrine verfasserin aut A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Marec-Bérard et al; licensee BioMed Central Ltd. 2009 Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). Lumbar Puncture (dpeaa)DE-He213 Paravertebral Muscle (dpeaa)DE-He213 Median Visual Analogical Scale (dpeaa)DE-He213 Microcellular Foam (dpeaa)DE-He213 Lumbar Puncture Procedure (dpeaa)DE-He213 Bissery, Alvine aut Kebaïli, Kamila aut Schell, Matthias aut Aubert, Françoise aut Gaillard, Ségolène aut Rabilloud, Muriel aut Kassaï, Behrouz aut Cornu, Catherine aut Enthalten in BMC cancer London : BioMed Central, 2001 9(2009), 1 vom: 15. Jan. (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:9 year:2009 number:1 day:15 month:01 https://dx.doi.org/10.1186/1471-2407-9-21 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 15 01
allfields_unstemmed	10.1186/1471-2407-9-21 doi (DE-627)SPR02761770X (SPR)1471-2407-9-21-e DE-627 ger DE-627 rakwb eng Marec-Bérard, Perrine verfasserin aut A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Marec-Bérard et al; licensee BioMed Central Ltd. 2009 Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). Lumbar Puncture (dpeaa)DE-He213 Paravertebral Muscle (dpeaa)DE-He213 Median Visual Analogical Scale (dpeaa)DE-He213 Microcellular Foam (dpeaa)DE-He213 Lumbar Puncture Procedure (dpeaa)DE-He213 Bissery, Alvine aut Kebaïli, Kamila aut Schell, Matthias aut Aubert, Françoise aut Gaillard, Ségolène aut Rabilloud, Muriel aut Kassaï, Behrouz aut Cornu, Catherine aut Enthalten in BMC cancer London : BioMed Central, 2001 9(2009), 1 vom: 15. Jan. (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:9 year:2009 number:1 day:15 month:01 https://dx.doi.org/10.1186/1471-2407-9-21 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 15 01
allfieldsGer	10.1186/1471-2407-9-21 doi (DE-627)SPR02761770X (SPR)1471-2407-9-21-e DE-627 ger DE-627 rakwb eng Marec-Bérard, Perrine verfasserin aut A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Marec-Bérard et al; licensee BioMed Central Ltd. 2009 Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). Lumbar Puncture (dpeaa)DE-He213 Paravertebral Muscle (dpeaa)DE-He213 Median Visual Analogical Scale (dpeaa)DE-He213 Microcellular Foam (dpeaa)DE-He213 Lumbar Puncture Procedure (dpeaa)DE-He213 Bissery, Alvine aut Kebaïli, Kamila aut Schell, Matthias aut Aubert, Françoise aut Gaillard, Ségolène aut Rabilloud, Muriel aut Kassaï, Behrouz aut Cornu, Catherine aut Enthalten in BMC cancer London : BioMed Central, 2001 9(2009), 1 vom: 15. Jan. (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:9 year:2009 number:1 day:15 month:01 https://dx.doi.org/10.1186/1471-2407-9-21 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 15 01
allfieldsSound	10.1186/1471-2407-9-21 doi (DE-627)SPR02761770X (SPR)1471-2407-9-21-e DE-627 ger DE-627 rakwb eng Marec-Bérard, Perrine verfasserin aut A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Marec-Bérard et al; licensee BioMed Central Ltd. 2009 Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). Lumbar Puncture (dpeaa)DE-He213 Paravertebral Muscle (dpeaa)DE-He213 Median Visual Analogical Scale (dpeaa)DE-He213 Microcellular Foam (dpeaa)DE-He213 Lumbar Puncture Procedure (dpeaa)DE-He213 Bissery, Alvine aut Kebaïli, Kamila aut Schell, Matthias aut Aubert, Françoise aut Gaillard, Ségolène aut Rabilloud, Muriel aut Kassaï, Behrouz aut Cornu, Catherine aut Enthalten in BMC cancer London : BioMed Central, 2001 9(2009), 1 vom: 15. Jan. (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:9 year:2009 number:1 day:15 month:01 https://dx.doi.org/10.1186/1471-2407-9-21 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 15 01
language	English
source	Enthalten in BMC cancer 9(2009), 1 vom: 15. Jan. volume:9 year:2009 number:1 day:15 month:01
sourceStr	Enthalten in BMC cancer 9(2009), 1 vom: 15. Jan. volume:9 year:2009 number:1 day:15 month:01
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Lumbar Puncture Paravertebral Muscle Median Visual Analogical Scale Microcellular Foam Lumbar Puncture Procedure
isfreeaccess_bool	true
container_title	BMC cancer
authorswithroles_txt_mv	Marec-Bérard, Perrine @@aut@@ Bissery, Alvine @@aut@@ Kebaïli, Kamila @@aut@@ Schell, Matthias @@aut@@ Aubert, Françoise @@aut@@ Gaillard, Ségolène @@aut@@ Rabilloud, Muriel @@aut@@ Kassaï, Behrouz @@aut@@ Cornu, Catherine @@aut@@
publishDateDaySort_date	2009-01-15T00:00:00Z
hierarchy_top_id	326643710
id	SPR02761770X
language_de	englisch
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Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. 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author	Marec-Bérard, Perrine
spellingShingle	Marec-Bérard, Perrine misc Lumbar Puncture misc Paravertebral Muscle misc Median Visual Analogical Scale misc Microcellular Foam misc Lumbar Puncture Procedure A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
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topic_title	A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial Lumbar Puncture (dpeaa)DE-He213 Paravertebral Muscle (dpeaa)DE-He213 Median Visual Analogical Scale (dpeaa)DE-He213 Microcellular Foam (dpeaa)DE-He213 Lumbar Puncture Procedure (dpeaa)DE-He213
topic	misc Lumbar Puncture misc Paravertebral Muscle misc Median Visual Analogical Scale misc Microcellular Foam misc Lumbar Puncture Procedure
topic_unstemmed	misc Lumbar Puncture misc Paravertebral Muscle misc Median Visual Analogical Scale misc Microcellular Foam misc Lumbar Puncture Procedure
topic_browse	misc Lumbar Puncture misc Paravertebral Muscle misc Median Visual Analogical Scale misc Microcellular Foam misc Lumbar Puncture Procedure
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title	A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
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title_full	A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
author_sort	Marec-Bérard, Perrine
journal	BMC cancer
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author_browse	Marec-Bérard, Perrine Bissery, Alvine Kebaïli, Kamila Schell, Matthias Aubert, Françoise Gaillard, Ségolène Rabilloud, Muriel Kassaï, Behrouz Cornu, Catherine
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author-letter	Marec-Bérard, Perrine
doi_str_mv	10.1186/1471-2407-9-21
title_sort	positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
title_auth	A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
abstract	Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). © Marec-Bérard et al; licensee BioMed Central Ltd. 2009
abstractGer	Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). © Marec-Bérard et al; licensee BioMed Central Ltd. 2009
abstract_unstemmed	Background Lumbar punctures (LPs) are common in children with cancer. Although pain management during the lumbar puncture has been well standardized, dealing with stress and anxiety is not well addressed yet. Our objective was to evaluate the potential improvement of the LP success rate using a positioning pillow, to ensure maximum lumbar flexion, and allow paravertebral muscles to relax, in children who are awake, with either conscious sedation or no sedation. Methods Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LP (sampling or injection) at the first attempt, without bleeding (RBC < 50/$ mm^{3} $). The secondary outcomes included: the child's pain, assessed by a self-administered visual analogical scales (VAS) for children over 6 years of age; the parents' and caregivers' perception of the child's pain; the satisfaction of the children, the parents, the caregivers and the physician. The child's cooperation and the occurrence of post-LP syndrome were also evaluated. Results 124 children (62 in each group) were included. The LP pillow tended to increase the success rate of LPs (67% vs. 57%, p = 0.23), and decreased the post-LP syndromes (15% vs. 24%, p = 0.17) but the differences were not statistically significant. In children over 6-year of age (n = 72), the rate of success was significantly higher in the pillow group (58.5% vs. 41.5%, p = 0.031), with a tendency to feel less pain (median VAS 25 vs. 15 mm, p = 0.39) and being more satisfied (84.4% vs. 75.0%, p = 0.34). Conclusion Overall results do not demonstrate a benefit in using this pillow for lumbar punctures. This study results also suggest a benefit in the sub group of children over 6-year of age; this result needs confirmation. Trial Registration The trial was registered with Clinical Trials.gov (number NCT00775112). © Marec-Bérard et al; licensee BioMed Central Ltd. 2009
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title_short	A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial
url	https://dx.doi.org/10.1186/1471-2407-9-21
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A positioning pillow to improve lumbar puncture success rate in paediatric haematology-oncology patients: a randomized controlled trial

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