Using a Pillow to Help Kids During Spinal Procedures
Author Information
Author(s): Marec-Bérard Perrine, Bissery Alvine, Kebaïli Kamila, Schell Matthias, Aubert Françoise, Gaillard Ségolène, Rabilloud Muriel, Kassaï Behrouz, Cornu Catherine
Primary Institution: Centre Léon Bérard, Lyon, France
Hypothesis
The LP pillow by improving the child's position would increase the rate of successful LPs and decrease pain, especially when LPs are performed without deep sedation.
Conclusion
Overall results do not demonstrate a benefit in using this pillow for lumbar punctures, but suggest a benefit in children over 6 years of age.
Supporting Evidence
- The LP pillow tended to increase the success rate of LPs (67% vs. 57%).
- In children over 6 years of age, the success rate was significantly higher in the pillow group (58.5% vs. 41.5%).
- The pillow group reported a tendency to feel less pain and higher satisfaction.
Takeaway
The study tested a special pillow to help kids during a procedure called a lumbar puncture, but it didn't really make a big difference in how well the procedure worked.
Methodology
Children aged 2–18 years undergoing LP were randomly assigned to a positioning pillow or no intervention, with outcomes measured for success rate, pain, and satisfaction.
Potential Biases
The assessment of some secondary endpoints may have been biased due to the nature of the intervention.
Limitations
The study was not stratified by age, and the pillow may not be suitable for younger children.
Participant Demographics
Children aged 2 to 18 years, with a mix of genders and various medical conditions.
Statistical Information
P-Value
p = 0.031 for children over 6 years of age
Digital Object Identifier (DOI)
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