Lumbar Puncture Demonstration | The Cadaver-Based EM Procedures Online Course

[@t-bone1898]

I just had this procedure done today. Last night i didn't sleep that good because I was so worried about this procedure. A few days ago my neurologist prescribed me a prescription for a sedative. This morning, I took 1 pill an hour before I had to be at the office and then right before they started the procedure. The only pain I felt was when the doctor injected the numbing medication and that felt like a bee sting. All and all that's the only pain that I felt. My doctor did a great job of explaining everything that I was going to experience and everything that I could possibly experience. Nevertheless all that worrying was just all in my head the procedure is not that bad. I read all these reviews and looked at this video prior to my procedure and I did fine. Not to say everyone is lying but every case is different. I was actually lying on my stomach during my procedure. Good luck to anyone who reads this and has to go through this procedure. You have my prayers. 🙏

[@Nicole-cr2ql]

Thanks for the info, I’m freaking out about this procedure I will have to have it done soon, I do have bad anxiety

[@t-bone1898]

@Nicole-cr2ql ask your neurologist for some valume pills. It will bring your anxiety down. I'm not sure if you are a God-fearing person, but I'll be praying for you. 🙏 you got this.

[@lauraabbott6235]

Thank you for this comment! I need to have a spinal tap next week to move forward with my Multiple Sclerosis diagnosis/and treatment. I am very scared after hearing horror stories, although I read somewhere it is actually less painful/invasive than an epidural. And I survived two of those easily. So combine that with your wonderful reassuring comment and I KNOW with confidence I can do this! Thank you for posting. And my prayers are with you, with whatever medical issues you might have.

[@t-bone1898]

@lauraabbott6235 Thanks for your prayers, and I thank God that I can share my testimony and it could reach the different people who have to go through this procedure. I got diagnosed with MS this past December, and O started treatment in January 2024. My prayers are with you as well. Take care 🙂

[@lauraabbott6235]

@@t-bone1898 thank you as well. I'm grateful for the testimony I have as well. MS is no fun but I know God's got our back. Blessings to you!

[@fabrimedeiros9888]

I am physician anesthesiologist and I like your video, doctor, very informative and straightforward.

[@missdanibaby911onfiyaaah3]

mine went much better than expected, no pain during procedure, just initial minor prick from lidocaine. the worst of it was back pain for several days after. if u get this done, remember to lay down for 1-2 days, no strenuous activity, drink lots of water and other fluids with caffeine to avoid that notorius, scary LP headache. i'm 1 week post and my back is getting better every day. the techs were super nice at the facility. it was x-ray guided, and i kept on my regular clothes the whole time. some places may make you change into a gown. sooo, i laid on my stomach for lidocaine stick, then LP puncture. few minutes later , they turned me on my left side for spinal fluid to drain. def not the horror show I expected AT ALL. no worries~

[@gracieladejesus9881]

I have one lumbar puncher tomorrow and i am very scared of nidle

[@terrabryan3030]

Thank you for sharing your experience. I am so scared. I have one coming up on December 26th

[@missdanibaby911onfiyaaah3]

@@terrabryan3030 no problem. i understand the anticipation completely, but you'll be fine. good luck to you!! 💙

[@ireneroy8820]

Do they do an x-ray of the back before the procedure?

[@yulibd3417]

I got this done bedside first it was the worst pain I’ve ever had and I’ve been in and out of the hospital a lot. The pain gave me sweats and I also ended up throwing up.. After they did it under x ray it wasn’t so bad I was super nervous because the first time hurt incredibly bad. It just felt like a lightning bolt went through my leg. Also the headache I got the next day was intense… when I would be laying down all fine but the second I would get up I would have an intense headache and would immediately throw up. Thankfully I got over it by drinking lots of caffeine like the neurologist suggested.

[@idontcare6938]

Hey Fellas.. I had this done like 2 months ago.. To be honest, the fear is the worst.. You should not be afraid at all.. I had no local anestetic, the only thing i got was a lil bit of fun juice into iv before the procedure which makes u a bit sleepy or a little bit like drunk.. I had to have it twice (the first punch was on a bit of a wrong spot of a spine, so i actually had two holes in skin, yet only one went to the canal).. Pain? No.. Feels a bit odd, little bit pressure in the back, but nearly no pain at all.. The pain will come after the procedure (its not a huge, sharp pain tho, more like you ve been picking potatoes on a field for last 2 days) .. So ye.. Procedure is total chill, u gotta stay for a day in the hospital (You ll sleep most of the time anyway) and my sincere advise for you: After the let u home, dont be an idiot and sit at computer for the rest of the day.. Lie down to tv, turn on netflix or smth and watch few seasons of your favourite series.. Results were aight btw :) And again, dont worry, dont be stressed.. Nothing bad except a bit of headache and backache after this can not happen to you (You cannot lose ur legs or feel in legs neither, there are no nerves at this spot no more, so the worst thing that can happen is that you ll kick the doctor holding u because of irritation :) )

[@UrGoddessQueen]

I just got one few days ago . They gave me medicine I didn’t feel pain but I still felt that pressure from the needle

[@jonathangraham6412]

What medicine did they give you? They gave you numbing medicine? Any pain

[@Joeybullets]

Testing for MS I had it twice in a two week span due to not being able to extract fluid the first time. Took an hour both times, two different spots first time and three the second. Incredibly painful. Felt every nerve in my hips and thighs. Second time they gave me two 50s of fentanyl just to make it through. Traumatic experience second only to wisdom teeth removal while awake.

[@tubeysr]

😘

[@comestayawhilewithl5696]

Did you find out if you have MS? I'm being tested next week.

[@tinathomas2833]

My son has the same procedure done this month

[@cutiel7237]

My granddaughter is having this done today to test for meningitis. I had it done about 20 years ago and it didn't hurt me so much so I guess it's different for each person? Or maybe depends on the size of the needle or where the needle is put in?

[@Krystallia87]

I got mine yesterday. A 10 minute procedure with half an hour recovery time lying flat... took FIVE HOURS. A junior doctor and a senior doctor had 7 failed attempts between them. The junior docs first attempt touched something it shouldnt have cause I vomitted. Finally they sent me up to the anaesthetics team. Took him another 7 attempts before he finally got it. It was his "one last try" before he was going to let someone else try, by which point i was ready to say no, i was going home. It didnt hurt as such but it was one of the most uncomfortable feelings ive ever had in my life and i could feel everything popping and it just wasnt fun. If i ever have to have another one im going to demand sedation cause i couldnt go through that again. Today my back is black and blue, im stiff all over and my spine looks like a pin cushion.

[@sovka8394]

Damn…Hope you’re all good now.

[@Pr0ph3cy-k5z]

Wow, that is insane.

[@Ashxx91]

I had a LP performed yesterday but after 10 attempts & it didn’t work. I had bleeding, still loss of feeling to most of my left side & unable to stand/walk still. I’m in the worst pain ever & this was the worst thing I’ve ever gone through I felt everything for 2 hours.

[@FutureRoadkill]

I am so sorry this shit looks so uncomfortable.

[@aali8110]

How are you now? My daughter has to do it

[@Ashxx91]

@@aali8110 hi. I spent 5 days in hospital- They were in the wrong spot & were actually on my spinal cord so I am very thankful & lucky to be walking still. I’m in a lot of pain still but that’s to be expected after this & having fibromyalgia. 5 days later I had another one under xray & it was successful the first time & the only thing I felt was when the needle was removed & it just made me gag. Then I had 5 hours on strict bed rest unable to move or sit up - then I sent myself home as I then had no one to watch my son.

[@aali8110]

@@Ashxx91 I hope you getting better soon my prayers for you ❤️❤️

[@staypositive8706]

I had lp done last month.. But actually i was really scared to death that i cried a lot 🥺 During the first attempt i could not lay still.. As soon as the doctor touches my spinal area i move.. Second attempt i tried my best to stay still... Though they could enter my spinal they could not extract the fluid and during the third attempt i literally begged them to give me anaesthesia nd yeah that was the fourth successful attempt.. I had very high pressure in csf nd was diagnosed with IIH... But it wasn't that painfull as i was under sedation... And i had a 7hours bed rest

[@kevinhowells5810]

I had two in 24 hours. First really uncomfortable kept hitting the nerves like having electric shock gave up after 20 minutes. 2nd one apart from freezing the erea all over in 15 minutes hardly felt a thing.

[@Eatingsoapmonday]

I had one of these done yesterday but unfortunately the lidocaine didn’t work for me and I felt the whole procedure 🥲 pretty nasty pain definitely up there as the worst I’ve ever experienced. I had always suspected I was resistant to local anaesthetic but this was a terrible way to find out loll.. no headache yet though and I wasn’t made to lie down afterwards, just ate plenty and drank a lot of fluids

[@michaeldelgado3805]

I had 8 diffrent punctures done in one sitting. The doctor had troubles finding the spot to drain. I was guiding him by where I was feeling pain. I'd rather die next time than get this done again. I still have pain on right side of lower back, thigh and knee.

[@thumpira]

oh wow I thought it was just me. I also still have pain in the lower side of my back it hurts and is very uncomfortable..

[@ansabjalil]

Very good video. Covers all aspects of procedure.. much details but concise.

[@rogermorris2425]

thanks! great video covered all steps with great detail.

[@Kudravets-Diana]

What will training include after the LP operation? 1. Encourage mobility as much as possible 2. Adults should lie on their stomachs 3. Children should lie on their stomachs 4. Avoid excessive drinking

[@mohammadameen6061]

Multiple resources state that the bevel is to be directed parallel to the long axis of the spine i.e. right or left if in sitting position, & up or down if in lateral decubitus - in other words you ought to direct the bevel towards the flanks in either position. This video says otherwise.

[@kristapreisberga6132]

22 gauge is used for children and babies, adults use 20 and 18 gauge needles. Pediatric LP kits contain 22 gauge needles.

[@hazyy2498]

I'm going to have lumber puncture this morning wish me luck!

[@hazyy2498]

@Silver It did go well but after 2 days the pain just felt like hell lmao

[@vasti1]

@@hazyy2498update? do you still feel pain?

[@Crescent-Adam]

Great succinct video covering all the bases !

[@susanfischer6155]

What about opening pressure

[@rahuldev4923]

Thank you doc, you explained so perfectly

[@faro8594]

She 4got to mention. That it's important to measure the opening pressure b4 collecting fluid

[@ilenooo]

What if she got it after? Does this drastically affect the pressure measure?

@@ilenooo yes it does

EM never gets the opening pressure... 🙄

[@楊晟-x5u]

@@ilenooo yes

[@KFire]

@ it’s true, the fckin meter is so annoying

[@JoshTobaquero]

Can this procedure be done with out any anesthesia or is it too painful?

[@leeceve3807]

It would be too painful. I had it done and the doctor injected lidocaine, even that relatively superficial injection was very painful in that area. Even with the lidocaine, the lumbar puncture itself was painful. I can’t imagine having it done without anesthesia.

[@reneulloa9332]

I watched another video from Duke UNC regarding lumbar punctures. The Dr. there always referred to the patient as a volunteer. When was this procure started? Can a Dr. do it without consent?

[@lolcats496]

Am I the only one who was impressed by her freehand lines?

[@amaiyagrace]

I just got it done. They had to try again my spine is different it hurt. But I'm glad it's done. They got what they needed but placing the needle wasn't pleasant.

[@alingmarites640]

My brother also went through this, I think twice. The finding was fungal staphylococcus meningococcal meningitis. He fought for six months but lost it.

[@mazikeen3467]

Did he survive?

[@alingmarites640]

@@mazikeen3467 unfortunately he didn't. Cause of death was kidney failure. The strong medicines for his meningitis severely damaged his kidneys.

[@alingmarites640]

@@joshfebbie5817 thank you Josh.

[@tubeysr]

Can you tell how it happened, how he got it, what were his symptoms... Deeply Sorry for your loss, may he rest in peace.

[@楊晟-x5u]

@@alingmarites640 was it because of sepsis or septic shock？

[@aryanbarale5732]

I think you mistook subarachnoid space for subdural space at 3:19 as CSF is collected from subarachnoid space

[@楊晟-x5u]

Yes

[@kellymccallister7373]

Thank you for this I've had 2 done

[@tgwallie6509]

Is it painful do they give you anything to help ease it

[@kellymccallister7373]

@@tgwallie6509 the first one I was pretty much out of it the second one was talking to the nurse and laughing and if I'm remembering right they had me on iv pain medication I don't think they do pain meds normally just for that but if you are really nervous I would think they would help ya out

[@tgwallie6509]

@@kellymccallister7373 I mean I can ask. It doesn’t hurt to ask. I get one soon I got one order so was making sure so no complications and a easy procedure. I’m just gonna let them no I don’t really like needles and I rather have something to calm me down with the pain because my pain tolerance sucks. Lol did they find anything with you?

[@kellymccallister7373]

@@tgwallie6509 I had a massive blood infection 8 days in hospital I would think they will help ya on the pain and being nervous there is always a risk but I'm sure you will be just fine ok IF YA NEED ME I WILL BE RIGHT HERE I WILL BE WITH YOU HOLDING YOUR HAND IN SPIRIT ❤️ WE CAN WORK SOMETHING OUT MESSAGE OR MESSENGER CALL OR I'LL JUST SEND MY NUMBER IT'S WHAT EVER YA WANT AND NEED ME TO DO OK DON'T BE SCARED OR NERVOUS OK

[@tgwallie6509]

@@kellymccallister7373 what’s your number?

[@naqeebelham4009]

Very useful. Thank you!

[@jonathangraham6412]

Areyou feeling better? Areyou still stiff? Any everlasting problems caused by the puncture?

[@melissaamericafirst3098]

Why is it that when getting shots in the spine for pain, they put you under a live X-ray machine and you aren’t here?

[@hoguhq]

whats your question? if the doctors remain in the room they will get severely overexposed to radiation as they xrays multiple times in a single day, but since you are a patient they wont likely do it to you too much

[@melissaamericafirst3098]

@@hoguhq my pain doctors do it that way.

[@hoguhq]

@@melissaamericafirst3098 to each their own, when i go to the dentist's and they take an x-ray they run from the room like there is no tomorrow

[@melissaamericafirst3098]

@@hoguhq they are fully suited up. They literally put on fully body suits. I’ve had to pain doctors, both from different places. They both did the same thing. It makes it so they for sure are in the right spot.

[@melissaamericafirst3098]

@@hoguhq there’s no way to know if you can’t see,

[@Garrick02]

Well explained.. Thanks for the video 🎉

[@lindseycampbell4271]

i'm getting one of these done in November

[@BigBangMemo]

Don't worry, it's not as scary or as painful as it seems. I got one done 10 days ago, I was very much in my head and almost fainted so I had to reschedule, then when I went in again I was surprised at how quickly it went. There'll be a sharp feeling when the needle is inserted and I felt a weird sensation in my thigh area, hold still during this and then the needle will get through and then they'll fairly quickly get the liquid and it'll be over. Try to not be tense, relax your back and body as much as you can and it will be fine. I wish you all the best, dear stranger.

[@midoowilmodepaul1964]

I just got two done painful 😓

[@HeatherBDentureDiVa]

I'm getting one done to see if I have MS or my blood test is right if I have Neuromyelitis optica

[@andreifilipstefan5675]

What did you find? Im supposed to get this procedure done in order to find if I have MS or not…

[@xxGoodz]

I hAd one a few years ago it hurts so bad had to get it done 3 times first two times the doctor couldn't get any out 3 time use a mexhine

[@Serenity7250]

Csf leak is also a big risk.

[@lestherruiz]

That cadaver specimen has a name.

[@Altereddandelion]

I had lumbar puncture a week ago. It was 5 tries before they hit it. The other 4 times they hit the bone before they got inbetween. It did not hurt at all! No anesthetic and it didn't hurt, just uncomfortable, extremely small needle! But, I was bedridden for 4 days because of intense pain, since they missed so often. But the procedure doesn't hurt at all. I was in a sitting position

[@Altereddandelion]

@Pete Yes I had an endoscopy and a colonoscopy a week and two weeks before hand. The procedure of the lumbar puncture is nothing in comparison. Even tho I didn't find the endoscopy nor the colonoscopy too bad

[@vi9983]

My husband had a lumbar puncture 5 days ago after 5 failed attempts the first day and one "successful" the day afterwards (with some bleeding) and since then he has a CSF leak with severe headaches. We are now preparing for the blood patch but I am just wondering if there is a limit in the amount of tries they should be made and if increased number of trials may result in increasing the area for the leak.

[@beetle9430]

No pain . . .i just can't believe you😨😱

[@zennabella1676]

@@beetle9430 ID SCREAM THE HOSPITAL DOWN IM SURE LIKE I ONCE DID WHEN I GAVE BIRTH. I WAS TOLD THAT DAY TO STOP ALL THE NOISE.

[@シン-t7q]

glad it all worked well, hows ur condition now? still in pain or pain-free?

[@anastasiaaa4094]

i have never seen anyone holding the needle the eay she did. but what do i know mine always unsuccessful

[@ameliaskinner9941]

I’m due for one of these and I’m petrified of needles, I’m crying watching it. Almost tempted to just cancel it.

[@lindseycampbell4271]

i have to get it done too

[@Binkey-Wok]

It’s better to do it then die, u can do it

[@Rooxie973]

I've done it. It's not pleasant, but certainly manageable

[@aaalymaJ]

yea i have to get it again worst part is the numbing but it’s manageable

[@ameliaskinner9941]

The hospital have agreed to do under general anaesthetic for me so that’s eased my mind completely.

[@Nisma1256]

Does it hurt when the needle goes in

[@ridamisbawu492]

Great Video, very informative

[@jellybean6461]

Okay sooo, one question, U DID NUMB THE AREA BEFORE INSERTING THAT NEEDLE RIGHTTTT?!?!??!?????!!?!!

[@oaktharas]

I think that’s a cadaver…

[@saharsaba391]

thanks a lot for this great video

[@jayneymaccarrie5672]

I don’t like the thought of procedures or surgery’s I am so sensitive and don’t like anything done! I had to rebook for mine next week as I was suppose to have mine done yesturday morning but I never received a letter from nhs blame Royal Mail (sorry I’m from the uk) I’m in my 30s, having it done for migraines and eye issues. This is after two brain mri’s and eye ultrasounds taken

[@prodbyg3650]

Im in the same boat eye sinus jaw head pain every day doesn’t go away ever .

[@mariondavis7107]

I got my Lumber puncture on Friday im ok i just felt the needle being injuest in my lower spine im ok gllad i got that over with

[@EugeniaBonucci1965]

Am I a doctor? Nope. Do I know how to do this now? Yep lol 😂

[@yohannesNigussie-zj7rh]

Hi iamjon from etihopya so ineed to blood prajerr whatis the mineng of blood prjer

[@commentquerty3092]

Please don't do this without making sure that your are getting sedated ; otherwise is going to be a nightmare. For some weird reason a neurologist or hospital technician or whoever is going to be in charge of this procedure, is never going to ask you if you want to be sedated for this test though they know is extremely painful, so please ask to be sedated.

[@sergiolopez-sf1fx]

I got this done today with our getting sedated and to be honest it was not painful at all.

[@bruiser995]

It is not that painfull, just strange

[@dayma4566]

I just had mine three days ago, no anesthesia and no sedation I was even ticcing at the time and i couldnt stop moving so they had to reinter the needle about 3 times Its day three now and m laying flat as much as i can , it hurts when i m laying but not to the same extent as when i stand up and move , it becomes complete hell , extreme headache , back and neck pain i also cant eat cuz i puke everything i eat . I m also to blame for this as i didnt drink enough water and couldn’t drink coffee (coffee is bad for tics) Now m laying down hoping tomorrow the pain will be less

[@bruiser995]

@@dayma4566 a lot of water and analgetic that usually works for you.

[@ImTheCookieMonster95]

@@dayma4566if you’re still experiencing headache you should contact the hospital

[@parulnegi169]

How to check ICP before l.p

[@magicmegan]

this was the most painful thing in my life. honestly i swear i fainted a few times because i kept on kinda waking up ish. so scaryyy

[@sumairanaeem205]

Thanks mam Plz upload more videos like this

[@animallover8779]

I have a csf leak I am curious to see if this will help

[@bhupendrasingharora6183]

Are you alright now

[@jennykvox]

Lumbar puncture can CAUSE a CSF leak, it’s not performed to help with one. You have to have a blood patch if you have a CSF leak and it’s a very serious condition.

[@FeZaCx]

Thank you!

[@GiordanoBabic]

To je lijepo kad ne očekujete od pacijenta da će se trznuti od bola uboda igle pretpostavljam da je pacijent lutka ili je cjela oeracija bila pod kratkotrajnom potpunom anestezijom😬😬😬😢😢🤦‍♂️👍❤️🍀

[@jennykvox]

This is a cadaver.

[@vkpk098]

Anesthesia was given or without

[@hannesschweiger3976]

This person is dead

[@belalugosisdead4444]

Don't need any if you're already dead like cadavers usually are

[@jennykvox]

This is a cadaver.

[@Tmcveggie]

So my 15 yr old son is doing this, this morning..this was helpful. But now I can't get out of my mind...is that person you did this on...dead?😶

[@jennykvox]

Yes, it’s a cadaver.

[@dil-kumarpublichealthofficer92]

Great Thank u so much 💓

[@ButteredToastwKelly]

Good lord I need a Xanax just to watch that.... I have to have this done...

[@mars3562]

You will be Ok❤ ive had them done 7 times its tough but you can push through it❤

[@jimmybigmoney627]

They do give diazepam if patient is too anxious or apprehensive,but to be honest breathing techniques and local anaesthetic is enough,you won't feel anything,all the best x

[@kawandaharris1981]

I had one 2 days ago. I can still feel pressure

[@Superduper666]

I had an LP as a child (7-8 years old). Most horrid experience. Because of that I wouldn't have an epidural for childbirth.

[@backfIow]

Das sind doch zwei völlig verschiedene sachen

[@vishnumohanan947]

Thank you

[@nancychelimo2320]

Thank s very helpful

[@abigailaguilar4067]

lumbar puncture is how i got diagnosed with autoimmune encephalitis

[@D37fit]

What were your symptoms prior that your doctor ordered the lumbar puncture? And how are you doing now?

[@jonathangraham6412]

What were your symptoms before?

[@YichlalMuchu]

Thanks

[@md.zayedalsabit9138]

Thank you ma'm

[@achlan5000]

Very nice and useful.

[@funkyfreshTV.]

is that a dead person?

[@MedicalBroadcast]

Informative

[@Slaatje222]

Had this done... it isn't as bad as you might think but it's def not fun😂

[@s.p.3587]

Don’t do sit-ups. That basically causes a little bit of CSF to squirt away, and it doesn’t come back. We need CSF.

[@nauidiver4649]

If the procedure fails is there a way to correct it?

[@fireboy1996]

Just use enough force it'll go through bone if all fails!

[@sujoychoudhury6867]

@@fireboy1996 🤣🤣🤣🤣

[@Calaveraqueen24]

my poor baby has this done every 2 to 3 months he has all cancer

[@mucunguzieliphaz5949]

I appreciate u lady

[@mohamedhoussemknkr1607]

thanks dr

[@officerchumpy]

you missed the X

[@akuamarvaserwaah6886]

Is this a real patient ?

[@martinasera825]

It’s a corpse.

[@AmberMcQuaker]

Technically yes it's real, but it's a dead person

[@TWilliams205]

A cadaver is a corpse that’s use in medical training. Real but is dead

[@EmilyGloeggler7984]

@@martinasera825 It’s a real person who is sadly dead.

[@dreamstarz6555]

Is that a dead person? 😮

[@owenlewthwaite5644]

spinal tap

[@WorldsOkayestBassPlayer]

What is Spinal Tap? This is Spinal Tap.

[@Super_Mario128]

Had Leukaemia when I was a child, and had to have Lumber Punctures.

[@microwaveshizz]

Omg it hurt this person strong

[@hannesschweiger3976]

This person is dead already

[@belalugosisdead4444]

Well, it's a dead body so I'm assuming they didn't feel it

[@YichlalMuchu]

It was better you did from create afield

[@rammusarmordillo3647]

Happened to my buddy Eric once

[@chantalbarry3023]

Jai eu une infiltration Peridural A Amiens au cHU Sud il ma pique dans le conflit jai souffert le Martyre canal lombaire etroit disques Degeneratifs a Paris jai jamais souffert

[@terrabryan3030]

This makes me want to cancel my appointment coming up in two days🥹😭

[@Daddychef-]

Is he drunk?

[@Bot-tm7hs]

That's a cadaver bro

[@EmilyGloeggler7984]

@@Bot-tm7hs It is a person who is dead

[@kalindiscorner]

Irritated after watching this because as a patient he want to finish it fast because of pain.

[@Weildren]

I don't intend to sound disrespectful to the cadaver, but it's a cadaver.

[@EmilyGloeggler7984]

@@Weildren it’s a person who is dead