Fluoroscopy-Guided CSF Drain (Spinal Drain) // Demo and Anatomy Review
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- Опубліковано 2 чер 2020
- Additional reading:
Furman MB, Jasper NR, Lin HW. Fluoroscopic contralateral oblique view in interlaminar interventions: a technical note. Pain Med. 2012;13(11):1389-1396. doi:10.1111/j.1526-4637.2012.01484.x
Equipment:
Hermetic™ Lumbar Catheter - INTEGRA (INS5010)
FLEXTIP PLUS® Epidural kit
Procedure performed by Taylor Lloyd, MD and Elisa Wash, MD (@elisacwalsh)
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Disclaimer:
Invasive medical procedures can result in harm to patients and practitioners and should be performed only by qualified medical professionals. This video is intended solely for informational purposes and to supplement, not replace, proper training and supervision by qualified instructors.
Viewers are advised to check the most current information provided by the manufacturer for every device being used, and to verify the indications, contraindications and proper procedural technique. The dose, method of administration, and contraindications for any administered drug should be confirmed before use.
The authors of the video do not assume any liability for any injury or damage to any person or property arising from the use of this video.
I cringe at the risk of infection and securement. But good job. I see so many doctors (esp neurologists) not even try for routine LP for CSF and send them to IR.
Can you get an accurate opening pressure reading from this position? I was told you need to be on your side for lumbar puncture.
Opening pressures are likely different depending on position.
Can you elaborate at 3:47 “once a decision is made to advance the catheter the catheter should never be withdrawn given the risk of sheering”? I know someone who had this sheered during removal of the needle. How did this happen?
Theoretically, pulling a catheter back with the needle inserted could cause the needle tip to shear the catheter. Sheering during needle removal is more challenging to explain.