 The procedure, indications, benefits, risks/complications and alternatives were described to the patient and informed consent was obtained. The patient was placed in the prone position and the inferior back was prepped with Betadine, draped and anesthetized with 1% lidocaine subcutaneously into the deeper soft tissues. Using fluoroscopic guidance, a 22 gauge x 3-1/2 inch spinal needle was localized into the thecal sac at the L4-5 vertebral level. Care was taken to avoid the nearby catheter from the pain pump which was visualized the entire time by fluoroscopy by undergoing a right paramedian approach inferior to the catheter. Approximately 15 cc of clear CSF was obtained and separated into 3 vials. The sample was given to the primary team for further analysis. The patient tolerated the procedure well with no immediate complications.TOTAL FLUOROSCOPY TIME: 0 minutes and 30 seconds
Successful fluoroscopic guide lumbar puncture.