Clinical pearls and common pitfalls associated with lumbar puncture are discussed in detail. Lumbar puncture 2 pants or bottoms and underwear can be kept on as long as the waist band can be lowered andor folded down. An inflammation of the brain that is usually caused by a virus. A lumbar puncture can check for cancer cells or for infection in the csf.
I have always been taught to only measure opening pressure in the lateral recumbent position in the video you measure the opening pressure with the dummy patient upright. She had severe headache, could not walk on her own, high fever, high blood pressure, and kidneys messed up. Lumbar puncture lp can confirm or exclude meningitis. A lumbar puncture, also called a spinal tap, is an imageguided procedure performed on the lower back which removes fluid that surrounds the brain and spinal cord to examine it for cancer cells or infection. Lumbar puncture lp, also known as a spinal tap, is a medical procedure in which a needle is inserted into the spinal canal, most commonly to collect cerebrospinal fluid csf for diagnostic testing. We performed a casecontrol study of febrile infants. A lumbar puncture is a diagnostic and therapeutic procedure in which a spinal needle is passed into the subarachnoid space. This is an instructional video describing how to perform a lumbar puncture. Back surfaces landmarks and dermatomes digital anatomy atlas back and spinal cord download the app from. Lumbar puncture form intermountain medical imaging. Csf analysis may aid in the diagnosis of meningitis, multiple sclerosis, intracranial hemorrhage, or meningeal carcinomatosis.
The video is not downloadable but may be accessed indefinitely by internet from any computer, smart phone, or tablet. All you need to do is solve each crossword puzzle and reveal the secret words. Lumbar puncture knowledge for medical students and. The key steps to performing a successful lumbar puncture and a demonstration in a real patient. Doctors remove some of the csf to test for cancer cells. A lumbar puncture is an invasive test designed to access the subarachnoid space in the lower spinal canal. Lumbar puncture in patients with neurologic conditions. Lumbar puncture is a medical procedure that includes insertion of a needle into the subarachnoid space in the area of lumbar spine. If you are going to measure opening pressure, you must position patient in left lateral decubitus.
A lumbar puncture procedure may be helpful in diagnosing many diseases and disorders, including. This procedure video demonstrates how to perform a lumbar puncture. Csf culture is the gold standard in the diagnosis of bacterial meningitis. Basically the lumbar puncture is done in case that doctor suspect on meningitis. Lumbar puncture and brain herniation in acute bacterial meningitis. A detailed look at lumbar puncture skill, the indications and interpretation are covered elsewhere. One test for epilepsy is a spinal tap also called a lumbar puncture. Lumbar puncture interpretation low csf glucose syndromes bacterial meningitis syphilis tuberculous meningitis chemical meningitis fungal meningitis subarachnoid. Its common to encounter bone while looking for a path to the csf. Give pt gown to wear, leave open in back, and offer a blanket positioning. Artist getty images music 480112, getty images music 4801, getty images music 480114, getty images music 480115, getty images music 480116. Ppt lumbar puncture powerpoint presentation free to. Lumbar puncture is indicated for both diagnostic and therapeutic reasons.
Effect of delayed lumbar punctures on the diagnosis of. This video will demonstrate safe and successful methods of performing lumbar puncture. This is a procedure in which fluid surrounding the spinal cord called the cerebrospinal fluid or csf is withdrawn through a. Epidural blood patching for preventing and treating postdural puncture headache. To evaluate the rochester and modified philadelphia criteria for the risk stratification of febrile infants with invasive bacterial infection ibi who do not appear ill without routine cerebrospinal fluid csf testing.
Physiology and utility of an examination in disease. This was created for the internal medicine residents at brown university. It is a common procedure in order to detect any bacterial, viral infection causes the disease. In immunocompromised patients, csf white cell counts are often low. How a lumbar puncture is applied scientific video and. This way the cerebrospinal liquid is obtained and can be further investigated. It is implemented in the clinic on a routine basis to aid the diagnosis of neurologic diseases. The inflammation is usually the result of a viral, bacterial, or fungal infection. Master this procedure to help you diagnose a brain bleed or infection in an emergency situation. A lumbar puncture may cause serious problems for people who have high pressure in the brain caused by a tumor, a pocket of infection in the brain abscess, or major bleeding inside the brain. For the procedure, the patient is typically in the left lateral decubitus position.
Knowledge of the contraindications, the pertinent anatomy, and the methods to minimize the risk of complications is necessary for. When it is taken for sampling, the fluid is tested in order to diagnose conditions such as bacterial meningitis. We simplify the lumbar puncture procedure and explain it in full in this video. All listed below stat cell count with differential stat glucose stat protein stat gram stain stat. Safety of lumbar punctures in patients with thrombocytopenia.
Lumbar puncture was then carried out on the patients. Lumbar puncture simulator ii closely simulates the lumbar anatomy including the anatomical landmarks. A lumbar puncture or lp is a procedure whereby spinal fluid sample is taken from the spinal canal for the pu. Based on the theme you will have the questions of the crossword and you need to find the correct answers in order to solve it.
Lumbar puncture tips and tricks if bone is encountered. Lumbar puncture in adults, the physiology and utility of examination of csf, and the diagnosis, prevention, and treatment of postspinal headache are discussed separately. We are paying for it now, she is in the childrens hospital. The subarachnoid space lies between the arachnoid and pia mater and contains a solution called cerebrospinal fluid csf. A lumbar puncture takes about half an hour under a local anaesthetic. The main reason for a lumbar puncture is to help diagnose diseases of the central nervous system, including the brain and spine. I did not feel comfortable with him doing it but he was a doctor. Knowledge of the contraindications, the pertinent anatomy, and the methods to minim. Provides lifelike sensation of both skin and tissue resistance to the spinal needle. It enables drainage or collection of cerebrospinal fluid as well as administration of intrathecal medications.
Allows students to measure csf fluid pressure, collect csf fluid and epidural. A lumbar puncture is a test to check the fluid that circulates round the brain and spinal cord. They use a needle to take a sample of the csf from your lower back. Lumbar puncture is the process of insertion of a needle into lumbar region of the spine so that the cerebrospinal fluid can be withdrawn for laboratory investigations to diagnose the disease. Lumbar puncture is procedure normally done by an anesthesiologist but most doctors are also knowledgeable of this procedure. The lumbar puncture procedure is used to collect samples of cerebrospinal fluid. A free powerpoint ppt presentation displayed as a flash slide show on id. This fluid is called cerebrospinal fluid or csf and is a clear liquid that delivers nutrients to the brain and cushions the spinal cord. An inflammation of the membrane covering the brain and spinal cord.
This is done to collect cerebrospinal fluid csf or treat certain medical conditions. Laerdal 37534001 baby stap skills trainer model kyoto kagaku m43b lumbar puncture sim ii each medline dynjts4301 adult lumbar puncture trays, gauge 20, 20 download nurse bingo today. The brain and spinal cord are covered by three layers of meninges the dura, arachnoid, and pia mater figure 1. A lumbar puncture is a diagnostic test for multiple sclerosis that involves removing and analysing a sample of cerebrospinal fluid csf, the fluid that surrounds the brain and spinal cord within the skull and backbone. Examples of these conditions include meningitis and subarachnoid.
When bone is encounter, leave the needle in place, and carefully assess the alignment of the needle check if the needle is angled too far to the right or left. Lumbar puncture, also called an lp or spinal tap, is a procedure where a needle is inserted in your back and into the spinal canal. Lumbar puncture is thus advocated for any infant who is drowsy or ill, without awaiting the development of meningeal signs. Lumbar puncture codycross answers cheats and solutions. This paper accompanies an informative lumbar puncture video that shows the lumbar puncture procedure as routinely performed in the vumc alzheimer center based on the consensus. The doctor will check the patients nervous system, spinal cord and brain before doing a lumbar puncture. Lumbar puncture is indicated for both diagnostic and therapeutic purposes.
Lumbar puncture tests and scans cancer research uk. Lumbar puncture department of neurology faculty of medicine of unpad hasan sadikin hospital lumbar puncture a procedure to collect cerebrospinal fluid csf that. Get your team aligned with all the tools you need on one secure, reliable video platform. This fluid surrounds the brain and the spinal cord. A lumbar puncture lp is performed to obtain cerebrospinal fluid. Technique, indications, contraindications, and complications in adults and cerebrospinal fluid. Results the opening cerebrospinal fluid pressure documented in the patient group was 279. The objective of this study was to describe the range of platelet counts at which lps are performed, and the rate of traumatic taps and haemorrhagic complications in an adult. A lumbar puncture needle with stylet is inserted into the l3to l4 or l4tol5 interspace the l4 spinous process is typically on a line between the posteriorsuperior iliac crests. More than 90% of cases of acute bacterial meningitis present with a csf white cell count of more than 100 cells per. This video describes the procedure of lumbar puncture technique in a detailed manner. Lumbar puncture video videos for doctors and medical.
572 1420 874 1440 110 1166 490 612 750 881 966 1267 267 695 482 771 55 62 1232 1021 92 148 107 1410 1063 921 359 1006 720 1327 25 1490 1267 1063 623 1311 1213