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Lumbar Puncture

Medicine/Nursing > General Procedures
Lum

Materials Included:

  • text-icoText
  • video-icoVideo
  • 3d-anatomyAnatomy
  • simulation-icoSimulation
  • practiseQuiz
Learn how to perform a lumbar puncture in a safe, non-risk space online.

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lumbar puncture (also called a spinal tap) is used to collect and assess the cerebrospinal fluid (CSF) for diagnostic or therapeutic purposes. A lumbar puncture is also used as an access method for purposes such as spinal anesthesia, introduction of radiopaque contrast media (eg, myelography), and administration of corticosteroids, antibiotics, and chemotherapeutic agents. SIMTICS web-based simulations offer a safe learning and practice environment for invasive procedures like lumbar puncture, and also enable you to try out procedures that you might not otherwise be able to perform in a real clinical environment. 

Step 1 - Preparation
Step 1.1 - Tray preparation
Step 1.2 - Patient preparation
Step 1.2.1 - Identify the anatomical landmarks
Step 1.2.2 - Position the patient
Step 1.2.3 - Clean and drape the operative area
Step 1.3 - Operator preparation
Step 2 - Infiltrate the local anesthetic
Step 3 - Introduce the spinal needle
Step 4 - Measure the cerebrospinal fluid (CSF) pressure
Step 4.1 - Prepare the manometer
Step 4.2 - Attach the manometer to the needle
Step 5 - Collect the cerebrospinal fluid (CSF) specimens
Step 6 - Remove the needle and apply a dressing
  • Indications, contraindications, and complications related to this procedure
  • Correct tray set up
  • Correct positioning of the patient
  • Identification of anatomical landmarks
  • Familiarity with the equipment
  • Provision and maintenance of an aseptic operative field
  • Identification of the correct insertion site  
  • Ascertaining the correct depth for the spinal needle insertion
  • Measurement of the cerebrospinal fluid (CSF) pressure
  • Correct CSF collection and analysis
  • Correct postprocedure considerations and documentation

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

For more details on features and how your students can benefit from our unique system, click here.

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