RF LUMBAR MYELOGRAM

LUMBAR MYELOGRAM

SUPPLIES:
■    Lumbar puncture tray
■    Isovue 200M
■    25 G 1-1/2" Whitacre needle
     ■    (22 G 1-1/2" Whitacre needle if prior surgery)
■    19 G 1-1/2" needle
■    20 cc syringe
■    Sterile gloves
■    Sterile towels
■    DuraPrep
■    Sterile 4 x 4s (Schmutz only)
■    10 cc syringe
■    Lidocaine
■    Bicarb
■    Extension tubing

PROCEDURE:
■    Have IV placed prior to starting exam
■    Obtain written consent
■    Start with the patient prone
■    Clean back with Hibiclens (Strobel only)
■    Once the contrast is injected, take overheads:
     ■    PA
     ■    Both obliques
     ■    Cross-table lateral
     ■    Conus table
     ■    Upright lateral
     ■    Flexion and extension
■    After films are done, hook up IV bag
■    Patient then goes to CT

For all surgeons - fluid sample sent to lab (minimum)
■    1 ml purple top
■    1 ml reddish top