Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad

  • nebal wael saadi department of neonatal , college of medicine, university of Baghdad
  • Dhulfiqar A. Mohammed
  • Yousif W. Kareem
  • Abdullah K. Jawad
Keywords: Lumbar ouncture , pediatrics , baghdad

Abstract

Background: Lumbar puncture is a procedure that is frequently performed in the pediatric practice.
Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq.
Methods: A descriptive cross-sectional study was conducted in the period from April to September, 2017. A self-prepared questionnaire was used to collect the data. It included 32 items, which were divided into three sections: Residents doctors' information (3 items), patient's information (2 items) and procedure’s information (27 items).
Results: The total number of performed procedures was 103, of which 51 (49.5%) were performed in the oncology ward. About half (50, 48.6%) of the patients were preschool-aged. Lumbar puncture was indicated for diagnostic purposes in 52(50.5%) cases. Nearly two thirds (67, 65.9%) of the procedures was performed by senior residents (3rd/4th Board residents). A written consent was obtained in only one case, the couch sheet were not renewed in 92 (93.9%) cases, a drape were not used in 92 (93.9%) cases, sitting upright position was assumed in 90 (91.8%) cases, gloves were worn by the doctor in all cases, anesthesia was used in 47 (48%) cases, antiseptics were used in 97 (99%) cases ,one holder was noted in 93 (94.8%) cases ,SpinocanQuincke and 22 Gage needle type was used in 98 (100%) cases, one entry attempt per procedure was reported in 79 (80.6%) cases and no documentation in the patients’ notes was reported in any of the procedures.
Conclusion: Lumbar puncture load was found in the oncology ward both for the patients and the residents. Safety was considered but was suboptimal in all wards.

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Published
2020-11-07
How to Cite
1.
saadi nebal, Mohammed D, Kareem Y, Jawad A. Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad. JFacMedBagdad [Internet]. 7Nov.2020 [cited 28Nov.2020];62(3). Available from: http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1733