Procedure : ASSISTING WITH LUMBAR PUNCTURE
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Lumbar puncture is the insertion of a needle into the lumbar subarachnoid space to withdraw cerebrospinal fluid.
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Procedure : ASSISTING WITH LUMBAR PUNCTURE
- 1. ASSISTING WITH LUMBAR PUNCTURE Prepared By, Silla Elsa Soji Msc Nursing 1st Year
- 2. DEFINITION Lumbar puncture is the insertion of a needle into the lumbar subarachnoid space to withdraw cerebrospinal fluid.
- 3. PURPOSES • To administer spinal anesthesia before surgery • To administer medication into the spinal canal in case of meningitis • To reduce intracranial pressure • To perform diagnostic studies • To detect subarachanoid block
- 4. INDICATIONS • Suspicion of meningitisCNS • Suspicion of subarachnoid hemmorrhage • Suspicion of CNS diseases such as GBS • Therapeutic relief of pseudomotor cerebri
- 5. CONTRA INDICATIONS • Suspected epidural infection • Severe psychiatric or neuro problems • Chronic Backache • Intracranial Bleeding
- 6. ARTICLES A sterile containing • LP needle with stillete • Sponge holding forceps • Small bowls • Specimen bottles • Cotton balls , Gauze pieces , Cotton pads • Dressing articles
- 7. A clean tray containing • Mackintosh and towel • Kidney tray • Spirit / iodine/Tincture benzoin • Lignocaine 2% • Sterile Normal Saline • Adhesive plaster and scissor • Sterile gloves , gown, mask • Syringe or needle
- 9. PROCEDURE • Identify the patient and explain procedure • Monitor vital signs • Position the patient • Keep a pillow under the head • Encourage the patient to relax and breath normally during procedures • Expose and clean the site
- 10. • Spinal needle inserted into 3rd and 4TH or 4TH and 5th lumbar intercostal Space • Remove stillete and connects three-way with manometer • Collect CSF specimen • Sealing puncture site and apply sterile dressing
- 11. • Instruct the patient to be flat for 12-24 hours • Monitor for complications for LP and check site frequently for CSF leakage • Record the procedure and send specimen to lab • If no complications are observed give upright position to the patient after 24 hours
- 12. COMPLICATIONS • CSF leakage • Infection • Post procedure headache • Paralysis • Hematoma