Can realistic neonatal lumbar puncture training improve success rates of a ‘champagne tap’?

Last updated: 06th August, 2019

Despite suboptimal success rates, the technique for neonatal lumbar puncture (LP) has remained unchanged for over 125 years.

NeoCLEAR is one of the first well-powered randomised trials to investigate neonatal LP technique. The primary outcome is the proportion of infants with a successful first LP – a ‘champagne tap’.

In this research trial, the Simulab Lumbar Puncture Baby simulator has been chosen for training staff for two key reasons:

1) Capability to have a bloody tap

2) The realistic feel and movement of the infant.

View NeoCLEAR Paper: Champagne and bloody taps

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Below are 4 different videos of the techniques being taught as part of this trial:

 

NeoCLEAR: Lying with Early Stylet Removal – Lumbar Puncture Training Video

 

NeoCLEAR: Sitting with Early Stylet Removal – Lumbar Puncture Training Video

 

NeoCLEAR: Lying with Late Stylet Removal – Lumbar Puncture Training Video

 

NeoCLEAR: Sitting with Late Stylet Removal – Lumbar Puncture Training Video

This pediatric lumbar puncture trainer simulates a two-week old baby that can be positioned either in the lateral decubitus position or held upright in the sitting position. The body form is anatomically correct with an iliac crest and umbilicus. The replaceable tissue has L3 – L5 vertebrae with a sacrum and the gluteal fold. Each tissue includes a spinal cord filled with simulated CSF and the epidural venous plexus filled with simulated blood.


Simulab Lumbar Puncture Flyer

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