TY - JOUR T1 - Bedside ultrasound improves the success rate of lumbar puncture in infants JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 111 LP - 112 DO - 10.1136/archdischild-2017-313296 VL - 103 IS - 2 AU - Rebecca A Dalrymple Y1 - 2018/04/01 UR - http://ep.bmj.com/content/103/2/111.abstract N2 - Prospective, single-centre, non-blinded randomised controlled trial. Randomised using block randomisation sequence with random sized blocks Patients: Infants aged 0 to 6 months attending when a sonographer was available. Those with spinal cord abnormalities or who are non-English speaking were excluded. Intervention: Ultrasound (US)-guided marking of the intervertebral space and midline, compared with no marking. The US technique was taught to three individuals. The clinician performing the procedure was decided prior to randomisation. Primary outcome: First lumbar puncture attempt successful with cerebrospinal fluid (CSF) and <1000 mm3 red blood cells. Secondary: Success within three attempts. Follow-up period: Nil after result obtainedOne hundred and twenty-eight patients were enrolled, median age 26 days. US marking improved the success rate for the first and subsequent lumbar puncture attempts. There was no difference in the clinicians’ experience between the … ER -