10 steps to a successful Lumbar Puncture

  1. A calm environment
  2. A trained nurse to assist
  3. Careful explanation to patient of what to expect
  4. Spend time on positioning the patient properly
  5. Make sure you achieve cutaneous anaesthesia
  6. Remember the 6 layers from skin to CSF
  7. Loosen manometer tap and connect to manometer guage before you insert needle
  8. Collect adequate specimens (2mls per bottle - 8mls is only 1.6% of total daily CSF production)
  9. Be confident - if your position and anatomical knowledeg are correct you will succeed
  10. Don’t rush your patient afterwards, let them take their own time to get ready to leave

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