Lumbar Puncture (Spinal Tap) - Comprehensive Tutorial & Demonstration!

This MiniMedLesson is a comprehensive tutorial and demonstration of the Lumbar Puncture procedure. It is intended for students of medicine and advanced practice nursing.
Disclaimer: This video is meant ONLY for training purposes of medical students, resident physicians, and other medical providers (such as PAs and NPs). Simply watching this video alone does NOT provide adequate training. Only significantly trained and authorized students and practitioners should ever perform a lumbar puncture on a living person.
This video was recorded with High-definition. Use the Settings "gear" in the bottom right hand corner of the video to make sure you're seeing the video in 1080p for the best video quality. I hope you enjoy the video! Don't forget to like it, subscribe to my channel, leave a comment, and check out my other MiniMedLesson videos!
Subscribe: kzbin.info/door/pOa...
Instagram: / minimedless. .
Some suturing videos of mine that you may enjoy:
Simple Interrupted Suturing - • SUTURE Tutorial: Simpl...
The Instrument Tie - • SUTURE Tutorial: The I...
Vertical Mattress Suturing - • SUTURE Tutorial: Verti...
Horizontal Mattress Suturing - • SUTURE Tutorial: Horiz...
Running Locking Suturing - • SUTURE Tutorial: Runni...
Deep Tissue Absorbables - • SUTURE Tutorial: Deep ...
Figure-of-8 Suturing - • SUTURE Tutorial: Figur...
Removing Sutures - • SUTURE Tutorial: How t...
Stapling a Laceration - • Closing a Laceration U...
Removing Skin Staples - • Surgical STAPLE REMOVA...
PLEASE NOTE: All of the content in this video and all other videos on this channel are solely the opinion of the creator and should NOT be used as medical advice or medical care. If you have any type of medical condition or symptoms of such a medical condition, you are advised to seek immediate medical attention in a hospital or medical clinic.
Fellow medical educators - You're more than welcome to use this video to teach your students. Simply send me a message or leave a comment below to inform me you're doing so and make sure my channel is cited to your students. Thanks.

[@minimedlessons]

Thanks for watching! You may also like this suturing demonstration video: kzbin.info/www/bejne/g2TZeoaoqt55oas

[@jennykvox]

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! 😊👏🏼

[@loryb1040]

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.

[@yeskumar8757]

Now you are ok ?

[@MartinLDeLoach903]

I will pray for you.

[@janetskene3413]

You are absolutely meticulous and exacting when it comes to cleanliness! Also you are a good teacher. Subscribed

[@kmysl2219]

Best tutorial. Thank you! Answered a lot of the questions I had.

[@breerod7962]

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!

[@Somaye40]

Very comprehensive and helpful. Thank you.

[@AnnieChaster]

Thank you so much for this detailed and comprehensive explanation!

[@minimedlessons]

You're very welcome!

[@JohnSmith-ds9bg]

Fantastic video. The best all in one video. Thanks

[@colamember9048]

Great tutorial. Thank you!

[@shirleyjbranham6829]

Excellent explanation of this procedure for me. Thankful so much for easing my mind for my granddaughter that is considering having this test.

[@yeskumar8757]

Is she fine now ? What was the problem with her ?

[@Amirganji1]

Thanks for the detailed explanation.

[@cathycoshal3860]

well done & thorough

[@akhil5963]

Great.. very nicely explained..

[@wilmerpena9097]

Excelente tutorial

[@eranbw]

Excellent 🙏❤️ very well explained 😊

[@serenadavis5956]

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.

[@dr.riyadhh.6926]

Very informative video thanks alot

[@kanniahmutharasan3083]

Excellent demo.i want to add few points.after tap kindly ensure patient lies supine position for few hours to prevent headache

[@ahmadkaddoura4234]

Thanks for the video. Would you ask the patient to extend their legs and neck before measuring the opening pressure?

[@reymir6422]

Thanks sir for wonderful information shared

[@golshidnourihosseini2207]

thanks! the video was really clear and usefull 👌

[@minimedlessons]

You're welcome!

[@patriciadcnp]

Great video! Off topic: Are you going to continue with the EKG series? Keep up the great work, thanks!

[@minimedlessons]

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!

[@nancynurse]

Fascinating.

[@grevaziozulu5203]

Great video

[@piyumiamarasinghe3130]

Nice explanation ❤️

[@samamso2155]

thank you very much

[@Voidzlover]

Thank you!

[@fivesutrawellness]

Superb

[@amitbhattacharjee4252]

Beautiful

[@asassynation9955]

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!

[@MartinLDeLoach903]

Ni still find it interesting even though my 15 years paramedic, 5 RMA, i never once did it, i like i learned something new.

[@kmedabeaute1759]

Can someone from the UK come to see you for this procedure

[@ajayayurved430]

Nice

[@Meains]

Should a doctor perform spinal tap to a heart patient (specially kids below 3)

[@jennykvox]

Who would typically be the MOST experienced at these and do them more often…..Neurologist, Anesthesia, or IR?

[@MsDisneylandlover]

I may have to get this done n i am scared

[@debidunn220]

Can you have this done I you’ve had spinal surgery?

[@minimedlessons]

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.

[@kioku618]

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?

[@minimedlessons]

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!

[@eltiarribero]

How about using a C Arm to guide you getting there easily or easier ? 🤔

[@minimedlessons]

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.

[@eltiarribero]

@@minimedlessons indeed. 😉

[@MartinLDeLoach903]

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.

[@retrogemar7808]

Thanks four times

[@janetskene3413]

COMPREHENSIVE , for sure!

[@christinejohns6621]

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.

[@minimedlessons]

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.

[@Tres_cee]

Worst pain of my life!! I will never go this again I had to get stuck 3 times

[@zs2001]

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.

[@dakiyathornton9690]

Hi, Im in your same situation and what happened after your spinal tap?

[@mariondavis7107]

i got the lumber puncture on Friday im ok just felt needle that was inserted in my spine im ok

[@cerisekarpinski9697]

I heard this was very painful is that true?

[@ciaranperry4677]

@@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.

[@rekanm1441]

At first I thought you were the American actor

[@minimedlessons]

Maybe I am… just kidding. I’m not. 😊

[@MartinLDeLoach903]

No i was on my side with my knees to to my face

[@beatmoney4533]

I came here after I watched a tiktok vid "First Day of Rural Medicine"

[@purplesatin8160]

Are able to drive yourself home ?