Successful Spinal Anesthesia / Epidural / Lumbar Puncture - Fundamentals of Technique

A discussion of the steps I take in every neuraxial block to minimize the chance of difficulty or failure. These steps will work for lumbar puncture or lumbar drain insertion as well.
0:29 - Reasons for technical difficulty
1:38 - Why it can be difficult to find the true midline
2:39 - The importance of being meticulous and precise
3:50 - The importance of controlling skin movement with 2 fingers
4:50 - Video: Palpating with 2 fingers
5:30 - Finding the true neuraxial midline
7:26 - Video: Locating the midline with the finder needle
8:16 - Accurate needle insertion and redirection
10:44 - Video: Insertion of introducer and spinal needle
12:40 - Dealing with sluggish CSF backflow or inability to aspirate