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Lumbar Puncture

Date : 14-May-2023 11.00 ()

Patient Details

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General Procedure

Preoperative investigations

No Description Available

Preoperative measures

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Postoperative measures

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Warning signs in the postoperative period

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Equipment tagged for this procedure

OT Equipment for this Procedure are not uploaded yet.

General Steps for this Surgery

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.

Port Positions

Port positions details for this surgery are not uploaded yet

Precautionary Measures

Precautionary Measures details for this surgery are not uploaded yet

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Patient Details

General Procedure

Equipment tagged in this procedure

Equipment tagged for this procedure

Anatomy Tags

General Steps for this Surgery

Port Positions

Precautionary Measures