Fundamentals and Management of Lumbar Drains
Fundamentals and Management of
Lumbar Drains
Presented By
Kaphne M. Harris, MSN, APRN, ACNP-BC
What is a Lumbar drain?
A small, flexible, soft plastic tube placed in the lower back (lumbar area) in the arachnoid space to drain cerebrospinal fluid (CSF).
Used to drain some of the cerebrospinal fluid that fills the ventricles of the brain and surrounds the brain and spinal cord.
Perioperative Insertion
Side lying position Sterile site prep of the lumbar spine Needle insertion at L3-L4 or L4-L5 into intrathecal space Cerebrospinal fluid flow confirmed Catheter advanced 5-7cm ? (often times anesthesia will place
stitch) Occlusive Dressing applied Transducer connected and leveled at the right atrium CSF drained to ................
................
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