Management Following Lumbar Puncture In Children

Study Overview
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Brief Summary
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The study is carried out in a prospectively randomly controlled way. In the context of acknowledgement and understanding from parents, by comparing with traditional process (lying without the pillow and fasting water and food for four hours following lumbar puncture), an optimized postoperative management (lying without the pillow for half an hour following lumbar puncture) is randomly selected. All children will be evaluated by the FLACC (The face, legs, activity, cry, consolability behavioral tool) scale to assess the degree of pain after lumbar puncture. Any postoperative condition will be recorded and analyzed. A questionaire about bad memory during lumbar puncture for all parents and children will be investigated in order to establish an optimized lumbar puncture management process.

Detailed Description
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The purpose of this study is to establish an optimized lumbar puncture management process on the basis of fully understanding of parents and children. An improved process consisting of comfortable LP will be established upon completion of this study.

Official Title
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Management Following Lumbar Puncture In Children

Conditions
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Spinal Puncture Complications

Intervention / Treatment
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* Procedure: optimized postoperative management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children with indications of lumbar puncture; voluntarily signed the informed consent Exclusion Criteria: topical anesthetic skin allergies; skin infection in lumbar puncture site; severe intracranial hypertension; unstable vital signs; coagulopathy; intracranial hemorrhage and occupying; low back pain; headache and low back pain before lumbar puncture; past headache after lumbar puncture; mental retardation, neuropsychiatric symptoms; children could not immediately act after the lumbar puncture(such as disturbance of consciousness or suffering from underlying diseases or drainage); the case with repeated puncture in one operation

Ages Eligible for Study
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Minimum Age: 1 Month
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1<br>optimized postoperative management(lying without the pillow for half an hour after lumbar puncture) | Procedure: optimized postoperative management<br>* lying without the pillow for half an hour after lumbar puncture<br>|
| No Intervention: Group 2<br>traditional postoperative management(lying without the pillow and fasting water and food for four hours after lumbar puncture) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with Postoperation complications include headache, backache, vomit, cerebral hernia etc. |  | up to five days postoperation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Composite measure of Vital signs include heart rate, pulse, blood pressure and respiration. |  | up to four hours postoperation | 
| comfort degree | evaluated by the FLACC(The face,legs,activity,cry,consolability behavioral tool) scale | up to four hours postoperation | 
| whether bad memories exist or not | A questionaire about the operation for all parents and children will be investigated. | up to four hours postoperation |