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