| | Position the patient correctly |
| | Prepare the skin as for surgical procedure |
| | Insert needle between second and third or between third and fourth lumbar vertebrae |
| | Remove the stiletto when the needle is entered the sub arachnoid space |
| | Attach the three way adapter with the manometer filled with normal saline to the needle |
| | The patient is asked to relax as much as possible |
| | About 2 to 3 lm of CSF is allowed to drip into each of 3 sterile test tubes and then withdraw the needle |
| | Seal the puncture wound |
Sunday, 14 January 2018
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