LUMBAR PUNCTURE (Adult, Peds) 3 3. The most important step is positioning the patient. The lateral decubitus position may be used; firm bed, head on pillow, head flexed with chin on the chest, legs maximally flexed toward the head. Alternatively, the patient may be sitting, flexed forward and supported by stable table or assistant. Lumbar Puncture Tray standard contents include:1/ea 3 cc Luer lock syringe; 1/ea 25G x 5/8" Needle; 1/ea 2 ml Ampule Lidocaine 1%; 4/ea Specimen tubes w/caps; 3/ea Sponge applicators; 3/ea Gauze pads, 2" x 2" (5 cm x 5 cm); 1/ea Fenestrated drape; 1/ea Absorbent towel; 1/ea Bandage; 1/ea Stopcock, 3-way; 1/ea Extension tubing, 5" (13 cm); 1/ea 2-piece manometer, 550 mm; 1/ea 22G x 1 .
Adult Lumbar Puncture Page 1 of 3 Disclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure, and clinical information. A lumbar puncture (LP) or spinal tap may be done to diagnose or treat a condition. For this procedure, your healthcare provider inserts a hollow needle into the space surrounding the spinal column (subarachnoid space) in the lower back to withdraw some cerebrospinal fluid (CSF) or inject medicine.
1) When ultrasound equipment is available, along with providers who are appropriately trained to use it, we recommend that ultrasound guidance should be used for site selection of lumbar puncture to reduce the number of needle insertion attempts and needle redirections and increase the overall procedure success rates, especially in patients who are obese or have difficult-to-palpate landmarks.Cited by: 9. Lumbar puncture trays. Reduce the occurrence of headaches with our lumbar puncture trays. Our lumbar puncture trays are available with atraumatic needles, which are recommended by the American Academy of Neurology to reduce post-lumbar puncture headaches. 1 All of our trays contain the components you need to measure cerebrospinal fluid (CSF) pressure and collect CSF specimens.
Sep 02, 2015 · Another part of prepping the patient is to describe the procedure carefully. I have found most people cringe at the term “spinal tap”, and I use lumbar puncture instead and explain that we are taking a small amount of fluid from a little pool at the bottom of the vertebrae. Sep 28, 2006 · Lumbar puncture is indicated for both diagnostic and therapeutic reasons. Knowledge of the contraindications, the pertinent anatomy, and the methods to minimize the risk of .