Needle Handling Skills for Successful Lumbar Puncture / Spinal Anesthesia

This is part of a series on the fundamental technique of spinal anesthesia and lumbar puncture. The other videos in the series are linked below. This video specifically presents my recommendations for effective needle handling to maximize precision and accuracy.
Good needle handling, in combination with sound anatomical knowledge of the spine, ultrasound imaging, and skin control, will significantly improve your success rate in achieving lumbar puncture. There is a lot of repetition of core principles in the video, but this deliberate, and underscores their fundamental nature regardless of the equipment you are using.

Fundamentals of Neuraxial Block (15min) - Successful Spinal Anesthesia / Epidur...
Paraspinous / Paramedian Approach (15min) - Paraspinous / Paramedian Approach to ...
Midline Approach to Spinal Anesthesia / Lumbar Puncture - Landmark-Guided Midline Spinal Anesth...
Playlist for Lumbar Puncture / Spinal Anesthesia - Lumbar Puncture & Spinal Anesthesia

Description:
00:00 - Core Principles
00:34 - Challenges
01:52 - 25G 90mm needle
04:05 - 25G 120mm needle
05:53 - 22G Quincke needle
06:40 - Holding the needle
08:27 - Redirecting 22G needle
08:58 - Letting go
09:42 - Example with long 22G needle

This video is for informational and educational purposes only. It is not a substitute for professional medical advice, or consultation with a health care professional.