Lumbar puncture – the gory details

I am currently revamping our spinal tap SOP, so I went through all the horrible details and tried to find a simple 3-page exposition of how to do it in our department. We discussed these recommendations and corrected a few of the prejudices about LP. Here are the highlights

  • If you cannot do it, you call your resident or attending. So what are his tricks? – Here are my 5 most valuable hints:¬†Sedate, position your patient, be daring – nothing except the aorta is sacred!, use ultrasound
  • Remember that pressure taking is easy – you can always lay down the sitting patient in order to do it. You just need the special “perfusor line”.
  • Take your time for desinfection.
  • Sedate! It’s worth it.