Ben is going to have a spinal tap, which requires a needle to be placed carefully into his spinal column. You are told to put Ben into the left lateral recumbent position so that the doctor can insert the needle into the correct place. How would you direct Ben to position himself for the procedure in a way that he would understand? Also, explain why the doctor would not want Ben to be in the supine position for this procedure.

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28-08-2020
Medicine

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Ben is going to have a spinal tap, which requires a needle to be placed carefully into his spinal column. You are told to put Ben into the left lateral recumbent position so that the doctor can insert the needle into the correct place. How would you direct Ben to position himself for the procedure in a way that he would understand? Also, explain why the doctor would not want Ben to be in the supine position for this procedure.

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annyksl annyksl · Answer 1 · 2020-09-03T01:31:05+02:00

With Ben you have to be in the left lateral position for the lumbar puncture to be made, I would ask you to lie down facing the left side of him and leave your legs bent, with your knees towards the abdomen.

I would explain to Ben, that this is the correct position he should be in, because the lumbar puncture is performed through a needle that will be inserted in the spinal canal that is in the lower back, for this reason, he should lie down in this position that leaves the back accessible to the doctor who will perform the procedure.

This also explains why the doctor would not want Ben to be in the supine position, because that position would make Ben support his back completely on the bed, preventing the doctor from having access to the spinal canal.