Needle-Free Jet Injection of Lidocaine During Lumbar Puncture
| Status: | Completed |
|---|---|
| Conditions: | Chronic Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 10/25/2018 |
| Start Date: | June 2009 |
| End Date: | June 2010 |
Needle-Free Jet Injection of Lidocaine for Local Anesthesia During Lumbar Puncture: A Randomized Controlled Trial
Background: The J-Tip Device allows an intradermal needle-free jet injection of 1% buffered
lidocaine. This study compares needle-free jet injection of lidocaine to saline in reducing
pain prior to lumbar puncture in infants.
Methods: Randomized, double-blinded, placebo controlled trial involving infants, less than 3
months of age, presenting to the emergency department meeting clinical criteria for a lumbar
puncture. All patients were administered the J-tip and randomized to either treatment with 1%
lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture.
lidocaine. This study compares needle-free jet injection of lidocaine to saline in reducing
pain prior to lumbar puncture in infants.
Methods: Randomized, double-blinded, placebo controlled trial involving infants, less than 3
months of age, presenting to the emergency department meeting clinical criteria for a lumbar
puncture. All patients were administered the J-tip and randomized to either treatment with 1%
lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture.
Background: Lumbar puncture is an essential procedure in the emergency department for the
evaluation of meningitis. Subcutaneous injection of lidocaine prior to lumbar puncture for
local anesthesia is not a pain free procedure. The J-Tip Device allows an intradermal
needle-free jet injection of 1% buffered lidocaine. This study compares needle-free jet
injection of lidocaine to saline in reducing pain prior to lumbar puncture in infants.
Methods: Randomized, double-blinded, placebo controlled trial involving infants, less than 3
months of age, presenting to the emergency department meeting clinical criteria for a lumbar
puncture. All patients were administered the J-tip and randomized to either treatment with 1%
lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture. Vital
signs were recorded during the procedure. Facial expressions as well as crying times were
video recorded from start to finish. Independent reviewers assigned pain scores based on the
validated Neonatal Facial Coding System with possible scores ranging from 0-5.
evaluation of meningitis. Subcutaneous injection of lidocaine prior to lumbar puncture for
local anesthesia is not a pain free procedure. The J-Tip Device allows an intradermal
needle-free jet injection of 1% buffered lidocaine. This study compares needle-free jet
injection of lidocaine to saline in reducing pain prior to lumbar puncture in infants.
Methods: Randomized, double-blinded, placebo controlled trial involving infants, less than 3
months of age, presenting to the emergency department meeting clinical criteria for a lumbar
puncture. All patients were administered the J-tip and randomized to either treatment with 1%
lidocaine or an equivalent amount of sterile normal saline prior to lumbar puncture. Vital
signs were recorded during the procedure. Facial expressions as well as crying times were
video recorded from start to finish. Independent reviewers assigned pain scores based on the
validated Neonatal Facial Coding System with possible scores ranging from 0-5.
Inclusion Criteria:
- fever in infants less than 3 months
Exclusion Criteria:
- toxic appearance, altered level of consciousness, age greater than 3 months or less
than 4kg of weight
We found this trial at
1
site
Click here to add this to my saved trials
