Evidence map›Paper›PMID 32940728›Full record

ArticlePediatric radiology2021

Spinal ultrasound after failed landmarked-based lumbar puncture: a single institutional experience.

Arthie Jeyakumar, John J Weaver, Jeffrey Forris Beecham Chick, Anthony N Hage, Kevin S H Koo, Giridhar M Shivaram, Eric J Monroe

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Arthie JeyakumarDivision of Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
John J WeaverDivision of Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
Jeffrey Forris Beecham ChickDivision of Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
Anthony N HageDepartment of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Kevin S H KooDivision of Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
Giridhar M ShivaramDivision of Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
Eric J MonroeDivision of Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA. eric.monroe@seattlechildrens.org.ORCID 0000-0002-5481-8751
University of Washington · USSeattle Children's Hospital · USThomas Jefferson University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe safety and efficacy of US-guided lumbar puncture in children has been described. In the pediatric setting, children are frequently referred to interventional radiology only after a failed landmark-based attempt. Routine pre-procedure US in these children is useful to determine a safe level for subarachnoid access and to optimize success.

objectiveTo determine whether pre-procedure US improves technical success and safety of US-guided lumbar puncture. MATERIALS AND

methodsWe included 47 children. Inclusion criteria were urgent US-guided lumbar puncture in pediatric patients <18 years old. Exclusion criteria were non-urgent lumbar punctures, children referred without an antecedent landmark-based attempt, lumbar punctures performed with fluoroscopic guidance, and procedures performed prior to introducing the diagnostic approach in 2017. We did not evaluate data pertaining to successful landmark-based lumbar punctures performed without subsequent need for additional attempts. We recorded technical successes, adverse events and relevant abnormalities identified on pre-procedural US.

resultsThirty-six US-guided lumbar punctures were performed with 100% technical success. Eleven children referred to interventional radiology did not undergo lumbar puncture because of unfavorable US findings or interval clinical improvement obviating the need for lumbar puncture. Thirty-six children underwent US evaluation of the thecal sac prior to potential intervention. Of these 36 with pre-procedural US studies, 12 demonstrated paucity of cerebrospinal fluid and 14 demonstrated an epidural hematoma. Fifteen children who underwent lumbar puncture had a "traumatic tap," classified as a mild adverse event. No moderate or severe adverse events were recorded.

conclusionLimited spinal US following failed landmark-based lumbar punctures frequently identifies procedure-related complications and can augment patient selection for future image-guided lumbar punctures.

Indexed as

Hematoma, Epidural, CranialSpinal PunctureChildFluoroscopyHumansSpineUltrasonographyUltrasonography, InterventionalChildrenInterventional radiologyLandmarksLumbar punctureSpineTraumatic tapUltrasound

Identifiers

PMID32940728
OpenAlexW3086607294

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.