Lumbar Puncture

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Conference Name: Benefits of Skill Lab & its importance

Conducted by: Dr. Prashant Sathe

Surgeon(s)/Speaker(s): Dr. Prashant Sathe

Surgical Procedure: General-Lumbar Puncture

Location: Meditorch's Virtual Meet

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Indexsteps

1. The manometer should be prepared prior to commencing the spinal injection :

2. Once skin is sterile, local anaesthetic can be administered : A small amount of lidocaine can be infiltrated into deeper tissues, but care must be taken not to distort local anatomy .

3. The Lumbar Puncture needle should be inserted at an angle that will allow it to pass between the spinous processes : The most common problem encountered by operators is their needle impacting on a bony structure like spinous process. If this happens, Withdraw the needle and adjust the trajectory, gradually proceeding until a “give” is felt on passing through the ligamentum flavum.

4. • The stylet should be in place when the needle insertion commences :

5. Once the needle is sufficiently advanced, withdraw the stylet slowly and wait about 5 seconds : To see if CSF emerges. If it does not, replace the stylet and advance the needle another 2 or 3 mm and check again for CSF.

6. Once CSF is obtained, connect the manometer : If pressure is required to be measured .

7. Samples should be taken either using sterile bottles . :

8. Aspiration of CSF is not recommended : As it may cause spinal cord injury.

9. The patient can mobilise as soon as it is comfortable to do so. :