Position Of Disposable Lumbar Puncture Needle

Patients should be in lateral decubitus or sitting position. Lateral decubitus is preferred for accurate open pressure and to reduce the risk of headache after puncture. Not all patients can receive a lumbar puncture in any position, so the physician should learn to perform the procedure in the patient's left, right, and upright positions. Once the patient's basic position is established, the physician should instruct the patient to adopt fetal position or arch the waist "like a cat" to increase the space between spinous processes. The lumbar spine should be perpendicular to the table when the patient is sitting and parallel to the table when the patient is lateral.

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