Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room
Yıl: 2021 Cilt: 14 Sayı: 1 Sayfa Aralığı: 131 - 140 Metin Dili: İngilizce DOI: 10.31362/patd.769253 İndeks Tarihi: 15-06-2021
Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room
Öz: Purpose: Lumbar puncture (LP) is a medical procedure in which a cerebrospinal fluid sample is takenfor biochemical, microbiological and cytological examination. The aim of our study was to compare theultrasonography (USG) method to the palpation method in determining the location of LP.Methods: 203 patients were included in the study. In the study, specifying location manually or with USG wasperformed by the same emergency medicine resident with USG certificate who completed his 4th year. LPpoints were determined and marked firstly by ultrasound and then the manual method while the patients werein the left and right lateral decubitus and sitting positions.Results: The USG method was found to be significantly more successful than the manual method in determiningthe LP location (p=0.012). The USG method was found to be significantly more successful in determining theLP site than the manual method, especially when the LP site was identified in the sitting position (p=0.031).In other positions, no difference was observed between the two groups (Right p=1, Left p=0.500). Body MassIndex (BMI) affects success during site location with USG (p=0.0001). Likewise, BMI affected the success inidentifying the LP site by the manual method (p=0.0001). The USG method was found to be significantly moresuccessful than the manual method in determining the LP site in patients with BMI>25 (p=0.012).Conclusion: During the detection of LP location by palpation or USG, as the BMI increased, the duration of thedetermination of location increased significantly, too. LP site can be identified by the USG in patients whose LPsite cannot be specified by palpation. In addition, the USG is more successful in obese individuals in terms oflocating the LP site.
Anahtar Kelime: Acil servise başvuran yetişkin hastalarda lomber ponksiyon yerinin yatak başı ultrasonografi ve palpasyon ile karşılaştırılması
Öz: Amaç: Lomber ponksiyon (LP) biyokimyasal, mikrobiyolojik ve sitolojik inceleme için beyin omurilik sıvısı örneğinin alındığı tıbbi bir işlemdir. Çalışmamızda, LP'nin yerini belirlemede ultrasonografi (USG) yöntemiyle palpasyon yöntemini karşılaştırmayı amaçladık. Gereç ve yöntem: Çalışmaya 203 hasta dahil edildi. Çalışmada, USG sertifikası olan 4. yılını tamamlayan aynı acil tıp asistanı tarafından manuel veya USG ile yer belirlemesi yapıldı. Hastalar sol ve sağ lateral dekübitus ve oturma pozisyonunda iken önce ultrason daha sonra manuel yöntemle LP noktaları belirlendi ve işaretlendi. Bulgular: USG yönteminin LP yerleşimini belirlemede manuel yöntemden anlamlı derecede daha başarılı olduğu bulundu (p=0,012). LP bölgesinin belirlenmesinde, USG yöntemi özellikle oturma pozisyonunda, manuel yönteme göre anlamlı olarak daha başarılı olduğu bulunmuştur (p=0,031). Diğer pozisyonlarda iki grup arasında fark gözlenmedi (Sağ p=1, Sol p=0,500). Vücut Kitle İndeksi (VKİ) USG ile alanın yer tayini sırasındaki başarıyı etkiledi (p=0,0001). Benzer şekilde, VKİ, LP bölgesini manuel yöntemle tanımlamadaki başarıyı etkilemiştir (p=0,0001). Vücut Kitle İndeksi>25 olan hastalarda LP alanının belirlenmesinde USG yönteminin manuel yöntemden anlamlı derecede daha başarılı olduğu bulundu (p=0,012). Sonuç: Palpasyon veya USG ile LP yer tayininde, VKİ arttıkça, yer bulma süresi önemli ölçüde artmıştır. Lomber ponksiyon yeri palpasyon ile belirlenemeyen hastalarda USG tarafından tanımlanabilir. Ek olarak, USG, obez bireylerde LP sahasının bulunması açısından daha başarılıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | CANACIK O, Yılmaz A, Sabırlı R, seyit m, SEYİT M, TÜRKÇÜER I, erdur b, sarohan a, SENOL H (2021). Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. , 131 - 140. 10.31362/patd.769253 |
| Chicago | CANACIK OMER,Yılmaz Atakan,Sabırlı Ramazan,seyit murat,SEYİT Murat,TÜRKÇÜER IBRAHIM,erdur bulent,sarohan ahmet,SENOL HANDE Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. (2021): 131 - 140. 10.31362/patd.769253 |
| MLA | CANACIK OMER,Yılmaz Atakan,Sabırlı Ramazan,seyit murat,SEYİT Murat,TÜRKÇÜER IBRAHIM,erdur bulent,sarohan ahmet,SENOL HANDE Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. , 2021, ss.131 - 140. 10.31362/patd.769253 |
| AMA | CANACIK O,Yılmaz A,Sabırlı R,seyit m,SEYİT M,TÜRKÇÜER I,erdur b,sarohan a,SENOL H Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. . 2021; 131 - 140. 10.31362/patd.769253 |
| Vancouver | CANACIK O,Yılmaz A,Sabırlı R,seyit m,SEYİT M,TÜRKÇÜER I,erdur b,sarohan a,SENOL H Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. . 2021; 131 - 140. 10.31362/patd.769253 |
| IEEE | CANACIK O,Yılmaz A,Sabırlı R,seyit m,SEYİT M,TÜRKÇÜER I,erdur b,sarohan a,SENOL H "Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room." , ss.131 - 140, 2021. 10.31362/patd.769253 |
| ISNAD | CANACIK, OMER vd. "Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room". (2021), 131-140. https://doi.org/10.31362/patd.769253 |
| APA | CANACIK O, Yılmaz A, Sabırlı R, seyit m, SEYİT M, TÜRKÇÜER I, erdur b, sarohan a, SENOL H (2021). Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. Pamukkale Tıp Dergisi, 14(1), 131 - 140. 10.31362/patd.769253 |
| Chicago | CANACIK OMER,Yılmaz Atakan,Sabırlı Ramazan,seyit murat,SEYİT Murat,TÜRKÇÜER IBRAHIM,erdur bulent,sarohan ahmet,SENOL HANDE Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. Pamukkale Tıp Dergisi 14, no.1 (2021): 131 - 140. 10.31362/patd.769253 |
| MLA | CANACIK OMER,Yılmaz Atakan,Sabırlı Ramazan,seyit murat,SEYİT Murat,TÜRKÇÜER IBRAHIM,erdur bulent,sarohan ahmet,SENOL HANDE Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. Pamukkale Tıp Dergisi, vol.14, no.1, 2021, ss.131 - 140. 10.31362/patd.769253 |
| AMA | CANACIK O,Yılmaz A,Sabırlı R,seyit m,SEYİT M,TÜRKÇÜER I,erdur b,sarohan a,SENOL H Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. Pamukkale Tıp Dergisi. 2021; 14(1): 131 - 140. 10.31362/patd.769253 |
| Vancouver | CANACIK O,Yılmaz A,Sabırlı R,seyit m,SEYİT M,TÜRKÇÜER I,erdur b,sarohan a,SENOL H Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room. Pamukkale Tıp Dergisi. 2021; 14(1): 131 - 140. 10.31362/patd.769253 |
| IEEE | CANACIK O,Yılmaz A,Sabırlı R,seyit m,SEYİT M,TÜRKÇÜER I,erdur b,sarohan a,SENOL H "Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room." Pamukkale Tıp Dergisi, 14, ss.131 - 140, 2021. 10.31362/patd.769253 |
| ISNAD | CANACIK, OMER vd. "Comparison of lumbar puncture location with bedside ultrasonography and palpation in adult patients admitted to the emergency room". Pamukkale Tıp Dergisi 14/1 (2021), 131-140. https://doi.org/10.31362/patd.769253 |
