Lumbar Puncture Step by Step

This video is a tutorial covering all aspects of performing the lumbar puncture procedure (LP). Learning Objectives: 1. List the indications and contraindications for performing an LP. 2. Describe the risks associated with performing an LP. 3. Demonstrate how to properly position the patient for the procedure. 4. Identify and assemble all the components of an LP tray. 5. Describe the key anatomical landmarks and relevant anatomy to be aware of to perform an LP. 6. State which is the interspace of choice for an LP and explain why. 7. Describe the proper technique for an LP injection. 7. List the possible problems arising during an LP; explain their causes and explain what to do about them. 8. Describe how to measure CSF pressure. 9. Describe how to collect samples of CSF. 10. List the laboratory tests performed on CSF and how to interpret their results. 11. List the possible complications associated with an LP. Previous Work and Effectiveness: The authors are unaware of any other non-commercial video tutorial that reviews the pertinent anatomy by schematic and cadaver demonstration and by step by step demonstration of performing the procedure on a patient. The video is part of the training received by fourth year medical students and is used for review by interns and residents. Lessons Learned: Incoming residents to Wake Forest University Baptist Medical Center from 51 medical schools throughout the US have completed an anonymous survey that identifies deficiencies in their training. Twenty percent reported they had never attempted the procedure.