Very interesting, I will have the procedure tomorrow and while I'm "just" a patient, I always like to watch multiple videos on whatever I have to get done since it's really interesting. Yours has been the most detailed one I've watched so far.
I’m an emergency RN and I will need this procedure soon. This video was fantastic. You did a great job explaining, and I can tell your skill level and sterile practices are top-notch! 😊👏🏼
Hi. I found this helpful as I have to have a lumber puncture soon I'm not excited for that. Because I already have a spinel problem. I've been wondering how a lumber puncture happens. Thank you for the information.
I'm so glad to hear you found my EKG videos helpful! I am very hopeful to get back to these soon. The COVID pandemic really changed my day-to-day work and things have been incredibly busy with my full-time and part-time jobs. I will get to them as soon as I can. I still plan to finish the series. Thanks for following along!
Great question! The short answer is… usually, although it depends on what surgery was accomplished. Any time surgery was done in the lumbar spine, it can make lumbar punctures at a later date more complicated, so it should always be done by someone who is very experienced.
What about if you have Chiari 1 malformation? Is it dangerous to do a lumbar puncture with that, since there is already brain herniation that exists? Thankyou!
Get a lumbar puncture, they said. Any complications will be better in a week, they said. Developed headaches and it’s been a year of chronic pain now. Tip - Do not get a lumbar puncture if you are outside the USA, Germany, or Switzerland, unless your life is at risk, for other countries are severely lacking in follow up care and treatment of post LP complications.
Somewhere said its dangerous to do this if there's increased pressure, but this is used to diagnose iih which is definitially increased pressure. Is it less safe when diagnoskng iih than other conditions? How likely is herniation or serious conditions?
The risk of herniation is highest when there is unilateral supratentorial elevation of pressure. This is usually due to mass occupying lesions, like abscesses, tumors, hemorrhages, etc. This differential is the reason to get a CT before performing a lumbar puncture. If there are no space occupying lesions, the risk of pressure-related herniation should be quite low even if elevated pressure generally (like with IIH). I hope that helps. Always get the CT first in acute situations!
That can be done but is not usually necessary. C Arms administer radiation to the patient's tissue, so shouldn't be done if the procedure can be done without it by a skill clinician. But yes, especially in individuals with obesity or significant anatomic variants, C Arms can be utilized (usually be interventional radiology) as a means of obtaining a CSF sample.
Why do we strictly teach that the stylet should always be fully locked in before advancing or retracting a spinal needle. I always do this and teach this and yet, I always forget the reason.
The main reason is because the needle would otherwise become obstructed with adipose tissue, blood, or other tissue, occluding the passive flow of CSF once we are in the right spot. There is also some thought that it may prevent traumatic taps but I’m not sure that’s a significant factor. It’s mostly about keeping the needle patent for clean and easy CSF flow.
@@cerisekarpinski9697 that's always subjective but in my experience everything ive had done thus far has never been even 20% as bad as what the cry babies online claim, most people just over tense and are generally a bit... soft tbh, the more you relax the better it will be.
Thanks for watching! You may also like this suturing demonstration video: czcams.com/video/M3vISruyFkI/video.html
Very interesting, I will have the procedure tomorrow and while I'm "just" a patient, I always like to watch multiple videos on whatever I have to get done since it's really interesting. Yours has been the most detailed one I've watched so far.
Now you are ok ?
I will pray for you.
I’m an emergency RN and I will need this procedure soon. This video was fantastic. You did a great job explaining, and I can tell your skill level and sterile practices are top-notch! 😊👏🏼
You are absolutely meticulous and exacting when it comes to cleanliness! Also you are a good teacher. Subscribed
I wish you were doing my spinal tap, you're so knowledgeable. I'm truly terrified for this and I'm so prone to pain. 😣 Thank you for the video!
Thank you so much for this detailed and comprehensive explanation!
You're very welcome!
Very comprehensive and helpful. Thank you.
Thanks for the detailed explanation.
Best tutorial. Thank you! Answered a lot of the questions I had.
Excellent explanation of this procedure for me. Thankful so much for easing my mind for my granddaughter that is considering having this test.
Is she fine now ?
What was the problem with her ?
Excellent demo.i want to add few points.after tap kindly ensure patient lies supine position for few hours to prevent headache
Fantastic video. The best all in one video. Thanks
thank you very much
Fascinating.
Thanks sir for wonderful information shared
Excelente tutorial
Great tutorial. Thank you!
Hi. I found this helpful as I have to have a lumber puncture soon I'm not excited for that. Because I already have a spinel problem. I've been wondering how a lumber puncture happens. Thank you for the information.
thanks! the video was really clear and usefull 👌
You're welcome!
Great video
Ni still find it interesting even though my 15 years paramedic, 5 RMA, i never once did it, i like i learned something new.
Nice explanation ❤️
Very informative video thanks alot
Great video! Off topic: Are you going to continue with the EKG series? Keep up the great work, thanks!
I'm so glad to hear you found my EKG videos helpful! I am very hopeful to get back to these soon. The COVID pandemic really changed my day-to-day work and things have been incredibly busy with my full-time and part-time jobs. I will get to them as soon as I can. I still plan to finish the series. Thanks for following along!
well done & thorough
Great.. very nicely explained..
Excellent 🙏❤️ very well explained 😊
Thank you!
Who would typically be the MOST experienced at these and do them more often…..Neurologist, Anesthesia, or IR?
Thanks for the video. Would you ask the patient to extend their legs and neck before measuring the opening pressure?
Beautiful
Superb
Nice
Can you have this done I you’ve had spinal surgery?
Great question! The short answer is… usually, although it depends on what surgery was accomplished. Any time surgery was done in the lumbar spine, it can make lumbar punctures at a later date more complicated, so it should always be done by someone who is very experienced.
What about if you have Chiari 1 malformation? Is it dangerous to do a lumbar puncture with that, since there is already brain herniation that exists?
Thankyou!
Get a lumbar puncture, they said. Any complications will be better in a week, they said. Developed headaches and it’s been a year of chronic pain now.
Tip - Do not get a lumbar puncture if you are outside the USA, Germany, or Switzerland, unless your life is at risk, for other countries are severely lacking in follow up care and treatment of post LP complications.
Hi, Im in your same situation and what happened after your spinal tap?
Somewhere said its dangerous to do this if there's increased pressure, but this is used to diagnose iih which is definitially increased pressure. Is it less safe when diagnoskng iih than other conditions? How likely is herniation or serious conditions?
The risk of herniation is highest when there is unilateral supratentorial elevation of pressure. This is usually due to mass occupying lesions, like abscesses, tumors, hemorrhages, etc. This differential is the reason to get a CT before performing a lumbar puncture. If there are no space occupying lesions, the risk of pressure-related herniation should be quite low even if elevated pressure generally (like with IIH). I hope that helps. Always get the CT first in acute situations!
How about using a C Arm to guide you getting there easily or easier ? 🤔
That can be done but is not usually necessary. C Arms administer radiation to the patient's tissue, so shouldn't be done if the procedure can be done without it by a skill clinician. But yes, especially in individuals with obesity or significant anatomic variants, C Arms can be utilized (usually be interventional radiology) as a means of obtaining a CSF sample.
@@minimedlessons indeed. 😉
Should a doctor perform spinal tap to a heart patient (specially kids below 3)
Why do we strictly teach that the stylet should always be fully locked in before advancing or retracting a spinal needle. I always do this and teach this and yet, I always forget the reason.
The main reason is because the needle would otherwise become obstructed with adipose tissue, blood, or other tissue, occluding the passive flow of CSF once we are in the right spot. There is also some thought that it may prevent traumatic taps but I’m not sure that’s a significant factor. It’s mostly about keeping the needle patent for clean and easy CSF flow.
COMPREHENSIVE , for sure!
Screw you on the LP, I had one, that hurts like h e l l... 15 years paramedic for local fire station, 5 years RMA, for local hospital.
I may have to get this done n i am scared
Can someone from the UK come to see you for this procedure
Thanks four times
Worst pain of my life!! I will never go this again I had to get stuck 3 times
At first I thought you were the American actor
Maybe I am… just kidding. I’m not. 😊
i got the lumber puncture on Friday im ok just felt needle that was inserted in my spine im ok
I heard this was very painful is that true?
@@cerisekarpinski9697 that's always subjective but in my experience everything ive had done thus far has never been even 20% as bad as what the cry babies online claim, most people just over tense and are generally a bit... soft tbh, the more you relax the better it will be.
No i was on my side with my knees to to my face
I came here after I watched a tiktok vid "First Day of Rural Medicine"
Are able to drive yourself home ?