Loading...
Please wait, while we are loading the content...
Similar Documents
Author's response to reviews Title : A positioning pillow to improve lumbar puncture in paediatric haematology-oncology patients : A randomized controlled trial
| Content Provider | Semantic Scholar |
|---|---|
| Author | Marec-Bérard, Perrine Bissery, Alvine Kébaïli, Kamila Schell, Matthias Aubert, Françoise Rabilloud, Muriel Kassaï, Behrouz Nigrovic, Lise E. |
| Copyright Year | 2008 |
| Abstract | 275 words, max 300) ObjectivesBackground 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 LPs success rate using a positioning pillow, thusto ensureing maximum lumbar flexion, and while allowing paravertebral muscles to relaxerelaxation, in children who are awake, with either conscious sedation or noor no sedation. or a conscious sedation. Patients and mMethods Children aged 2-18 years undergoing LPs were randomly assigned to a positioning pillow or no intervention. The primary outcome was the rate of success, i.e. achieving the LPs achieving their objective (sampling or injection) at the first attempt, without bleeding (RBC < 50/mm). The Ssecondary outcomes included: the child's pain, assessedevaluated 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; satisfaction 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 pillows 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 wereare not statistically significant. In children over 6year 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). Remarque mettre au present ou au passé Conclusions Even if theOverall results presented here are not as optimistic as we might have wished, we can confirm that there is do not demonstrate a benefit in using this pillow for lumbar |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://static-content.springer.com/openpeerreview/art:10.1186%2F1471-2407-9-21/12885_2008_1355_AuthorComment_V3.pdf |
| Alternate Webpage(s) | https://static-content.springer.com/openpeerreview/art:10.1186%2F1471-2407-9-21/12885_2008_1355_AuthorComment_V4.pdf |
| Alternate Webpage(s) | https://static-content.springer.com/openpeerreview/art:10.1186%2F1471-2407-9-21/12885_2008_1355_AuthorComment_V2.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
