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Lumbar Puncture Lumbar Puncture Procedure Note: Date: *** Time: *** Indication: Diagnostic LP. Resident: *** Attending : *** was available during the procedure. Opening Pressure: *** Fluid Collected: *** Fluid color: ***
Does lumbar puncture require consent form?
Informed consent procedures are commonly employed prior to lumbar puncture. An understanding of the legal and ethical basis of informed consent is important in developing an acceptable approach to consent and in dealing with problems confronted when consent cannot be obtained.
Why do you need a L4 for a lumbar puncture?
The ideal insertion point of the spinal needle should be either in the interspinous area between L4 and L5 or L3 and L4. Using these landmarks will avoid inadvertent damage to the conus medullaris, which typically terminates at L1.
How to do an LP step by step?
Insert the needle pointing toward the umbilicus, roughly 15 cephalad, and advance it in small increments of about 2 to 3 mm. A pop may be palpable as the needle pierces the ligamentum flavum (to enter the epidural space) and sometimes when the needle pierces the dura (to enter the subarachnoid space).
Lumbar puncture (spinal tap) is an outpatient procedure lasting about one hour. After the exam, drink extra fluids but avoid alcohol and caffeine for 24
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