Position for Lumbar Punctures

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 976-976
Author(s):  
FRAN PORTER ◽  
J. PHILIP MILLER ◽  
F. SESSIONS COLE ◽  
RICHARD E. MARSHALL
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Lumbar Puncture ◽  
Neonatal Intensive Care ◽  
Lateral Position ◽  
Common Position

in Reply.— Dr Pinheiro correctly points out that alternative positions for performance of lumbar punctures in newborns have been shown to result in less physiologic perturbation than the position for lumbar puncture used in our study. Although we did not select specifically to study the fully flexed lateral position, it was the most common position for lumbar punctures in our Neonatal Intensive Care Unit at the time our study was conducted.

scholarly journals Painful and stressful procedures and analgesia in newborns from the viewpoint of professionals

2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 170-177
Author(s):  
Etiene Leticia Leone de Moraes ◽  
Márcia Helena de Souza Freire
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Lumbar Puncture ◽  
Quantitative Study ◽  
Health Professionals ◽  
Neonatal Intensive Care ◽  
Tracheal Extubation ◽  
Intravenous Catheter ◽  
Thoracic Drainage

ABSTRACT Objective: To identify the procedures considered painful and stressful by health professionals from a neonatal intensive care unit and check the measures of analgesia. Method: Descriptive exploratory quantitative study with 65 health professionals, from November 2016 to February 2017. Results: The procedures considered painful were removal of adhesives, vein, arterial and lumbar puncture, phlebotomy, and thoracic drainage. Oral suctioning, intravenous catheter removal and tracheal extubation were considered stressful. Fentanyl was the most cited pharmacological measure, and restraint and nonnutritive suction were the most used nonpharmacological measures. Conclusion: Professionals were able to classify the painful and stressful procedures; however, low use of measures for analgesia was evidenced.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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