Improving practice using the wrapped tucked position for lumbar punctures

Infants undergoing a lumbar puncture are subjected to a potentially painful and uncomfortable procedure. They often struggle against the required hold position and become increasingly agitated during the procedure, thereby reducing the likelihood of success. The use of a wrapped technique for holding during lumbar punctures can provide support and comfort for the baby and help healthcare professionals to locate the most appropriate space for needle insertion and obtain a clear cerebrospinal fluid sample.

Sinéad Ramsay
RGN, RSCN
Band 7 Sister
sinead.ramsay@sth.nhs.uk

Karen Jackson
RGN
Band 6 Sister
karen.jackson3@sth.nhs.uk

Jessop Wing Neonatal Unit, Sheffield Teaching Hospital NHS Foundation Trust

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Keywords

lumbar puncture; developmental support; infant; holding position

Also published in Infant:

VOLUME 14/ISSUE 6, NOVEMBER 2018

Champagne and bloody taps: can we improve the success rate of neonatal lumbar punctures?

Neonatal lumbar puncture is an essential and common procedure. Its relatively high failure rate can have a significant impact on patients, parents, clinical teams and healthcare resources. NeoCLEAR is a large randomised controlled trial investigating whether success rates are affected by positioning, or timing of stylet removal. If successful, this trial may contribute to the future of neonatal care by reducing the need for repeat lumbar punctures, avoiding prolonged antibiotic courses and minimising postnatal hospital stays.