Physician feedback on the use of novel LP cradle
Peer Reviewed Published Paper Regarding
SMöLTAP from the University of Toronto
The SMöLTAP positioner doesn’t just improve clinical outcomes – it also increases procedural efficiency and reduces
staff burden, particularly by eliminating the need for a dedicated infant holder.
Background
- Lumbar puncture (LP) in neonates has low success rates
- NeoCLEAR trial reported: improved first-pass success rate in the seated position vs. lateral decubitus
- An LP cradle is a novel device that secures infants in a seated position
Aims
- Assess pediatric emergency medicine (PEM) MD acceptability & feasibility of using a novel LP cradle
- Secondary outcomes: first-pass success, overall success (CSF obtained with <10,000 RBC/hpf) and non-traumatic taps (<1000 RBC/hpf)

The Results

Easy to use
(adjust and clean 100%)

First-pass success

Perceived safer than traditional methods

Saved overall procedure time

CFS obtained

Non-traumatic taps

The Buzz
PEM physicians reported positive experiences with the LP cradle, citing feasibility, safety, and potential procedural efficiency.

Interested in learning more about SMöLTAP? Reach out to our team.
