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Instrument · Supplies

Lumbar Drain

Lumbar Drain Catheter · Spinal Drain · External Lumbar Drainage Catheter · Lumbar Drainage Kit

A thin, soft catheter with depth marks that is threaded through a Tuohy needle into the spinal canal in the lower back, then connected through a luer connector to an outside drainage and monitoring system.

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Supplies
On setups
2

On the table

What it does, the lengths it comes in and what experienced techs know about it.

  • What it’s for

    Removes cerebrospinal fluidser-uh-broh-SPY-nul FLOO-idThe clear, watery fluid that bathes and cushions the brain and spinal cord.cerebr/o brainspin spine-al relating toFull entry from the lumbarLUM-barHaving to do with the lower back, the part of the spine between the ribs and the pelvis.Full entry subarachnoid spacesub-uh-RAK-noyd SPAYSThe space between two of the thin membranes that cover the brain and spinal cord, filled with cerebrospinal fluid.sub- belowarachn spider (the arachnoid layer looks like a web)-oid likeFull entry . It is used to relax the brain during aneurysmAN-yuh-riz-umA weak spot in the wall of an artery that bulges outward like a balloon.aneurysm a widening (Greek)Full entry or tumor surgery, to prevent or treat a CSF leak, to test for normal pressure hydrocephalushy-droh-SEF-uh-lusA buildup of too much cerebrospinal fluid inside the spaces (ventricles) of the brain.hydr/o watercephal/o head-us noun endingFull entry , and to lower the risk of spinal cord ischemiais-KEE-mee-uhToo little blood flow to a part of the body, so the tissue does not get enough oxygen.isch- hold back-emia blood conditionFull entry during thoracicthuh-RAS-ikRelating to the chest, or to the middle part of the spine.thorac/o chest-ic relating toFull entry and thoracoabdominal aortic repair such as TEVAR. It can also be used to monitor pressure.

  • Lengths and variants

    Spiegelberg's kit includes the catheter, Tuohy needle, luer-lock connector and a slotted suturing attachmentuh-TACH-mentThe deep emotional bond between an infant and a parent or caregiver.Full entry ; antimicrobialan-tee-my-KROH-bee-ulA drug or substance that kills or slows the growth of microorganisms such as bacteria, viruses, fungi or parasites.anti- againstmicro- smallbi/o life-al relating toFull entry (silver) versions exist.

  • What experienced techs know

    What techs who reach for it every day know about it.Pro

Through the case

In the order you meet it: before, during and after the case.

  • During the case

    Caution

    What not to do with it, and why.Pro

  • After the case

    Care and reprocessing

    How it is cleaned, checked and sent back to sterile.Pro

These notes are Pro, on every instrument. See Pro

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3 sources
  1. Fuller. Surgical Technology: Principles and Practice. 8th ed. Chapter 34 (Neurosurgery), p. 981
  2. Rothrock. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 21 (Neurosurgery), p. 783
  3. spiegelberg.de

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