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From: kakodkar
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  • Please read special report on Complications of lumbar puncture and their preventions through Altraumatic lumbar puncture needles! Stop hospitals and neurosurgeons using cheap needles and calling back in for a blood patch procedure to stop the headache they caused in the first place! (low CSF pressure syndrome) Ask for the type of needles they are going to use! bevel tip or atraumatic or pencil tip such as Sprotte or Whitacre best. You don't want to meet PDPH believe me!

  • This video would have been good if it wasn't for the annoying music.

  • I Had This Done To Me. It Hurt So MUCH.! And It Was The Worst Thing You Could Have Hade

  • i had this done when i had suspected meningitis........ what i remember was that it was painful

  • Comment removed

  • I had this done yesterday my head hurts so bad hurts to sit or stand I'm considering going to a and e

  • Concur (I should have concurred) that music KILLS ME!

  • This Happened To Me And Im In So Much Head And Back Pain :(

  • Seems like he picked a more lateral position than middle.

  • I am getting one of these one of these on friday, not sure if i should be watching this or not!!!

  • what is the purpose of the manometer?

    to control the amount of the aspiration?

  • @timlok123 The purpose of the manometer is to measure the pressure CSF in the spinal cord, which is continuous with the CSF in the brain. Thus, it is a measure of intracranial pressure.

  • Supine? Isn't it called side-lying position? Supine is when the patient is at his/her back. But now, at least I know how CSF looks like. And ouch, I'm not sure if I have to do this as a nurse but I know I need to know this because I will be with the doctor as a nurse, taking care of my patient.

  • had this done to me yesterday, its painful but its bearable (not that bad)

  • I have to have this done to me tomorrow...I'm so scared

  • Just watched my 13 year old son have one - he felt no pain and was woosy from the relaxant drug - cost me a new game for his Xbox!

  • i had 3 of these in one week before 2 months and i still feel the pain:/

  • Good instructional video, except for the irritating music! It is so difficult to hear the commentary.

  • This is a complete explanation

  • Ive had one of these done 14-12-2010 it was rather painful! and the headache's (aftermath) are some what escruciating headaches !!!

  • i hope i can perform a lumbar puncture on a patient soon...:)

  • Had it done on 9/30/10. Could not be done with this procedure, the first Dr. had a hard time. I had to be taken to X Ray to get it done. Hurt like hell !!!! Still have a headache 10/02/10. Hope my kids don't have to go thru this...

  • Ouch I had this done this morning and it hurt like a bitch. My left leg went numb for a second. I don't think they froze it right. :S

  • Any Dr. watching a YT video for training, is NOT a Dr. I'd want to go to.

  • @LadyNightOwl63

    I don't think this was shot for YouTube. It's a professionally made training video that a med student uploaded.

  • @LadyNightOwl63 : Why it is not a doctor ?? i am a doctor and i have watched videos 3 times before i did the first lumbar puncture for the patient...and it was very easy for me to do it because the video helpt me...do you think that the doctor need only books ( not videos ) så at he become a physician..? my regards

  • i had make this , this is soooo horrible !!!! it hurts so :(

  • Worst pain of my life.

  • omg! my sister had this done, serouisly, that looked like it was agony, jesus, i hope i never have to have anything liek thate EVER :)

  • i have a huge massive headache due to the lumbar puncture one of the side effects, its been 7 days and it hasnt gone away, just warning all those who do decide to get it done. It suks, but not everyone gets headaches.

  • @Narutosgirls1

    They say caffeine helps, they gave me a coke after my second one, but I projectile vommitted it.

  • This is the second LP video I've viewed (the first was created for medical students in England). I just want to view as many as possible before my first LP this coming Tue. morning. Very informative and thank you for posting it.

  • aaaahhh

    aha ah

    I would die

  • I've had two of these and an epideral blood patch...never going back to that.

  • I'm getting this done to me on monday. I am scared but I've havd 3 epadurals in the past and this is supposed to be similar. It just freaks me out cuz if you move while they do this it could paralize you. that's what scares me.

  • Jesus! How trivial can they be!

    The soft porn funk is to keep people awake as they drone on and on about a procedure so simple that I've seen doctors in Nigeria do in under 2 mins safely! They make it seem like some stereotactic procedure.

  • normally, csf is reabsorbed as fast as it is formed by the choroid plexuses. its rate is 20 mL/hr.

  • i've just learned the theoretical lumbar puncture. one thing crossed my mind: is CSF regenerative? lol. so many CSF dripped out.

  • Very good practical video of lumbar puncture with audio narration.Thanks a lot

  • it hurts my back just watching them push on that old folks bone!!! wonder what it would've sounded like without the soft porn groove music?? i mean come on,,, if that ain't porn groove i don't know what is...i agree with last poster, i'd like to help you off that person who added the funk to the video.

  • that guy/girl asked how they could even put music to such a traumatic video and below is my answer jncase you all wondered ok thanks

  • just got this done today! ...actually seeing the video is pretty cool! ...anyways, a full procedure takes up to 15 minutes so it goes by really really fast!

    for all those who wonder how bad it hurts...THEY NUMB U lol, u don't feel the needle, u can feel the needle if it hits a bone but it's not bad at all...any male/female of all ages can handle this simple test

  • To the people who have had this done, would you do it again for $4000?? just wondering...

  • why is he wearing a diaper ?

  • So if he shits himself they can clean him up.

  • geriatric patient

  • my tutor says the headache post-lumbar puncture is due to reduced CSF fluid.. so we infuse IV fluid to prevent the headache.. i wonder if what we are doing is correct.. (Student Nurse)

  • This patient is very thin. It is much more difficult on a person that has a lot of fat.

    Sonetimes you can't even feel the spinous processes.

  • I am a doctor and am used to doing aprox. 5-10 LPs a week. If your doctor is doing it right it shouldn`t hurt much more than a neddle puncture to draw blood (there are more pain nerve roots in your arm than in your back).

    Most of my patients actually fell relieved after the LP and say it didn`t hurt as much as they thought it would. Some even fall asleep during the procedure.

  • I have a question about the application of the lidocaine. Do you place it in a ring around the site of entry or do you actually advance it through the layers along the track that your needle is going to go? (ie. like pierce thru the skin, thru the ligaments, and all the way to just before the dura)? Thanks in advance doc if you can answer this.

  • I know what that feels like. I have had about 50 plus. Thanks for the video I have been on the other side. I never have seen on done. I only know what it feels like having one done!! My opening pressure has never been that low.

  • Mine was preformed sitting up hunched over the meal tray cart thing they have in all the rooms with a pillow. I've had 5 LP's so far and the hunching over is much less painful and easier to reach the CSF.

  • F**king hell look how long that needle is, I can not believe I had one of those in me a few days ago. No wonder my backs still sore 4 days later.

    And to top it off I have a sort of twitchy pain above my left arse cheek.

    PAINFUL! & the worse bit is when the wiggle the giant needle about. :/

  • How can you even attempt to put video music to such a traumatizing event like this????

  • @asdertert12345

    yeah....they act like it's a porno or something don't they?? very good observation/comment asdertert12345

  • I would pee myself from nervousness

  • me 2

  • i had one done a year ago after i had brainsurgery,they had to see if i had a infection in my csf fluid,,which idid..it hurt alot cause the dr kept hitting my spine,,then another dr performed it..after it,i had a extreme headache.apparantly it takes a couple of hours to dalm down.still its not nice to have done

  • i would say this would hurt pretty bad, unlike the people who were saying it didnt hurt for shit. my reason being that i have a natural high tolerance to local anesthetics.

  • It HURTS. Especially when they hit bone. It's a blind procedure essentially so it's scary as well. You can get paralyzed, nerve damage or anything. You know it's risky when you must sign a release form to do it.

  • true, there is some risk with this, but if it even occurred, nerve damage would more than likely be minimal, because I'm pretty sure they know where all the major nerves are. More than likely, the biggest slip up concerning nerve damage would be slight, localized paresthesia.

  • It really depends on the type. My partner has Lymphoma and has had 15 and all most have been CT guided, so it's not "blind".

  • ok why cant they put you totally out ???

  • this music's so cheesy

  • That's the point XD

  • i have one done every 6 months

    and unless im under sedation i dont do good

    i presonally think it hurts like a sob

  • Poor patient - couldn't they have turned the music off for her?

  • Comment removed

  • I had one of those. Nasty, though \it did not hurt. True, I had meningitis

  • had this done last nite -- i felt it, it hurt and now I'm sore as hell. But, no meningitis -- WOO HOO!!!

  • they aint painfull at tall

  • I have had 11 Lumbar Punctures (relating to BIH) and each one hurt like hell to me, even with Midazolam and Nitrous oxide as well as the local anaesthetic.

    BUT it all depends on the person, anaesthesias given and the person performing the Lumbar Puncture. There was this one person who did it twice on me and she made less painful then the other 9 I had.

  • I had this done few days ago. Comparing to my excruciating headache (suspected meningitis) i seriously didnt feel a thing!! They couldve done it twice and i wouldve not noticed :)

  • A question for the creators of the video. What's the margin of error in this procedure? Would you be able to tell if you've gone deeper than you should have. The spinal cord is not that far away from the tip of the needle :P.

  • Actually at that level (L4-L5) the chord is in a loosely arranged mess called the cauda equina (horses tail) and will mostly move out of the way if encountered by the needle, also there is a bulging of the meningeal sack giving one more space (more room for error). The actual spinal "chord" ends at around L1. Hope this helps. (Medical Student)

  • Thanks :)

    The day after I posted the question I realized I didn't think properly before actually asking it. In my mind for some reason, cauda equina was further down :S... don't ask why lol... I have no idea myself. You know that 'duuh' feeling you get when you realize the answer is much more simple than you thought it was!

    Anyways, thanks for the reply though, I appreciate it (another Medical Student :) )

  • OMG

    i would prefer dying thn having this done

    despite being a med student i still blv this/

  • i have a question y cant they num it or knock uoy out i heard that his and the bone marrow biopsy are the most pain full medical tests

  • They do, and they did it here too. That's what Lidocaine is used for, it's a local anesthetic.

    Local anesthetics are prefered over generalized more often now, especially for minor procedures like this one. They are just as effective, have less side effects, and there is no need for the patient to 'come out of it' at the end of the procedure.

  • I had an epidural steroid injection and a facet block done with the lidocaine and it helped a lot. I even have lidocaine pain patches for extreme back pain and it helps. In terms of pain, dental procedures are much worse.

  • yes i have had this done its hell extremly painfull and horrible... it is pain like you would never belive. even with the lidocane!!

  • Oh stop being a bitch.. it hurts but its not that bad.

    I've seen Versed used with kids so they dont freak out.

  • i had one yesterday with out local anaesthetic, and it didnt hurt that bad, so stop crying like a little girl. it was not pleasent but the pain level is the same as what you experience while getting a blood sample taken, so calling it extremly painfull and horrible is bull

  • so i'm assuming you had a really good doctor?

    Why do most people assume its, extremly painful?

  • U r the bitch! Not everybody can with stand it! It is horrible and nobody should go thru it!

  • It seems so easy :/ I want to preform this. Where to buy this lumbar puncture kit?

  • go get a medical license.

  • The final words "Congratulations! You have completed a LP" could have been left unsaid, according to my humble opinion :)

  • Tips if you are going to have one of these:

    1. do not drink any carbonated beverages before hand. During your LP the legs are pressed against the stomach.

    2. pee before the LP.

    3. lay on your back as much as possible for the entire rest of the day. Spend the next 48 hours resting.

  • I had this done a few times when I was a child! I am happy I really don't remember it. However, I will dread it if I have to have it again! I have horrible anxiety and may need one so I will be freaking out!

  • i have bih and ive had over 30 done, some were fine others were agony.

    my worst fear is one of my kids needing one

  • it looks so easy on House, they just stick the neddle in and get the fluid and done

  • i know right

  • Just had one done about 17hrs ago. It wasnt too bad, they used a local so the most pain I felt was from that being injected. I just wish I could have seen it, a mirror or something would have been nice

  • Had this procedure done yesterday, very painful during the procedure because of a lack of local anaesthetic. Had to wait during the procedure while they got some more. Also took the doctor at least four attempts to get to the spinal fluid, then it stopped dripping so she had to remove it and do it again. Since then my back has ached non stop and the pain around the area of insertion is unbearable if I make contact with anything e.g. a bed or chair. It has me quite worried.

  • I've had it done 4x, as well as a spinal blood patch from too much fluid leaking out (the tear in my dura never closed, so they took blood from my arm and injected into the previous lumbar puncture site so it would form a clot and seal the hole).

    Didn't hurt too bad, considering the pain of my meningitis was WAY worse!

  • My 5 year old had this done monday ...and he is still in great pain.....it is breaking my heart

  • That hurt very bad ... Well for me. And they did that for nothing ! They didn't found anything. D: <

    But still something to share , haha.

  • ouch Nahye....

  • it really does hurt,i had it done twice this week as they couldnt do it the first attempt :( my back looks like a pin coshion never again

  • I get this done once every six months to actually see it being done is strange.

  • This procdure hurts like HELL!!

  • I would have to second that it does hurt like hell!

  • I have to get one every 9 months...Not sure about you Princess, but everytime I go into the hospital to get my procdure. I ALLWAYS GET STUPID RESIDENTS! And they damn act like the are drilling for oil. When they do get it in...I wanna yell PAY DIRT.....WE GOT OIL!!! HAHA

  • I cringe at the thought of that ever happening....

    Sadly it does :[

  • kills doesnt it

  • this hurts so much!

  • i know i had 1 done last year and my back still acts up from it

  • does the red stuff they put on burn?

  • no but the damn needle does

  • how long do they keep it in for?

  • anywhere from a few seconds to a few mins

  • that sound like torture even for a few seconds!!!!!

  • mine was in for 40 minutes once...

  • Man, I had one of these not too long ago and I always wondered what it looked like from the other side. The person who did mine was not very good and didn't have much experience though because it hurt like hell and he misinformed me of the procedure, idiot.

  • I had to have one, and find this fascinating because I wasn't allowed to see any of it.

  • Nice video. Thanks!

  • Excellent video - I just started my ICU rotation as an intern this week, and this video is a great visual supplement that will surely help me in my first few LP's over the next month. The music is... interesting, but the video is fantastic nonetheless.

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