Neonatal Comfort Seat Allowing Safe Lumbar Puncture and Minimizing Failure: a Randomized Controlled Trial

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age0-28
SponsorJoel Cox

About this trial

A research trial which compares standard of care against employing a novel device for immobilization of babies undergoing upright LP, the present working name for the device is LP Comfort Seat (LPCS).

The research question is:

P: In late-preterm to term babies who are 0-28 days and undergoing LP for R/O Sepsis I: Is the LPCS more effective C: Than human/RN assisted upright positioning O: In generating a higher rate of first attempt LP success

Primary outcome measure is first attempt LP success (any evidence of CSF which is diagnostically useful by content and volume)

Secondary outcome measures could include

1. A qualitatively unadulterated tap (no blood) although as you know this is hard to control even with perfect positioning and technique and single pass 2. A difference in FLACC score as measure of overall pain/comfort between test and control

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Late preterm (34 + weeks) Gestational Age to Term (42+ weeks GA)

Weight of 2.5 - 5 kg

Disqualifiers

Any contraindication to having a lumbar punture procedure

Trial design

Design model

Parallel

Treatments tested in this trial

  • A novel device for immobilization of babies undergoing upright LP, the present working name (non-proprietary) for the device is LP Comfort Seat (LPCS)

    Device

    The participant will be placed in the LPCS for their lumbar puncture procedure

  • Standard of Care (SOC)

    Other intervention

    The patient will be held in the upright position by a human assistant

Treatment groups

68 Participants
are divided into 2 treatment groups
Group A: Lumbar Puncture Comfort Seat ArmExperimental treatment 1 intervention
Group B: Standard of Care ArmActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

First attempt LP success

Primary outcome measure is first attempt LP success (any evidence of CSF which is diagnostically useful by content and volume)

Time frame
Assessed at each procedure

Secondary outcomes

1

Clear tap

A qualitatively unadulterated tap (no blood)

Time frame
Assessed at each procedure
2

FLACC Score

A difference in FLACC score as measure of overall pain/comfort between test and control

Time frame
Assessed at each procedure

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Joel Cox

Lead sponsor

Nova Scotia Health Authority

Sponsor institution

Nova Scotia Health Authority

Collaborator

This trial is not recruiting at the moment. You can still explore other options: