- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05795075
Randomized Control Trial Comparing CMPAT and MAT for Lumbar Puncture
Computerized Modified Paramedian Approach Technique(CMPAT) Versus Conventional Midline Approach Technique(MAT) of Lumbar Puncture: A Randomized Control Trial
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Fujian
-
Fuzhou, Fujian, China
- Recruiting
- Fujian Medical University Union Hospital
-
Contact:
- Yuan-Dong Zhuang
- Phone Number: 15260866029
- Email: zhuangyuandong@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged 18-70 years. Indication for LP.(Diagnostic lumbar puncture:Cerebrospinal fluid composition analysis,Cerebrospinal fluid pressure measurement;Cerebrospinal fluid release or lumbar Contiuous drainage of fluid,Intrathecal injection of lumbar cistern, etc.) Informed consent. Sufficient knowledge of the Chinese language to complete forms and follow instructions independently.
Exclusion Criteria:
- Cerebral hernia or high Cerebrospinal fluid pressure that might lead to Cerebral hernia.
Treatment with oral anticoagulant or anti-small plate(3 days or less)or coagulation disorders, various factors leading to a higher risk of bleeding.
Local infection or skin breakdown. Previous surgery on Lumbar spine segments. Pregnancy or lactation Severe somatic or psychiatric illness.(Severe anxiety or depression, etc.) Failure to be followed up as needed or worries about the potential risks of the study.
Failure to provide written informed consent or follow the protocol requirements.
Expected survival time being less than 1 month. Plan to emigrate within 1 month. Other conditions that are unsuitable for clinical research.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Computerized Modified Paramedian Approach Technique
The L3-4 inter-laminar space will be selected as the target for puncture, and in the longitudinal direction, 1.0-1.5cm
will be opened beside the upper edge of the spinous process (tip) of the lower vertebra as the entry point.
The lumbar puncture needle will be inserted vertically along the axis of the anesthesia needle.
The puncture path will be maintained completely perpendicular to the skin until the needle reached the PLTLF (posterior layer of the thoracolumbar fascia), where some resistance will be felt.
The puncture direction is adjusted as needed.
The tip of the needle will be tilted 20±10° in the sagittal direction and 15±5° inward such that the tip will point at the midpoint of the spinal canal.
After the needle reaches the PLTLF, it will be further inserted 3-7 cm.
|
Computerized Modified Paramedian Approach Technique ( CMPAT )
|
Experimental: Conventional Midline Approach Technique
Puncture will be performed on the posterior median line near the midpoint of the L3-4 Space of spinous process.
The lumbar puncture needle will be inserted vertically along the axis of the anesthesia needle, or the tip of the needle will be tilted 15° in the sagittal direction toward the head, so that the needle path is parallel to the space of spinous process.
|
Conventional Midline Approach Technique
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of puncture attempts in case of successful LP
Time Frame: 1 day
|
1 day
|
LP success rate
Time Frame: 1 day
|
1 day
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- ChiCTR2300067937
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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