Where is a lumbar drain placed?

A lumbar drain is a small flexible tube that is placed in the lumbar spine. The tube drains some of the cerebrospinal fluid that fills the ventricles of the brain and surrounds the brain and spinal cord.

Where do you zero a spinal drain?

The Drainage Unit The panel (left) must be positioned in an upright position, with the “0” reference point (E) at the level of the patient’s catheter. In CCTC, we use the iliac crest as the lumbar ICP reference point.

What is the CPT code for lumbar drain placement?

62272
You’ll use 62272 (Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) instead.

Can you measure ICP with a lumbar drain?

Conclusions: Controlled CSF drainage using a lumbar drain can be used to monitor ICP when leveled at the foramen of Monro if EVD failure occurs perioperatively. The LD can temporarily guide ICP management until the EVD flow can be re-established after OLT.

How are drains placed in the lumbar spine?

Alternatively, the patient may sit up and lean over a bedside table. The physician determines the appropriate level of drain placement in the lumbar subarachnoid space (L2-L3, L3-L4, or L4-L5). Before placement, a local anesthetic is injected into the marked area and a spinal needle is inserted into the subarachnoid space.

Where is the CSF drain in the lumbar area?

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.

Is the zero point of a lumbar drain the insertion site?

As lumbar drains use the same circuits as EVD’s the management remains consistent with that of an EVD. However, the zero-point of lumbar drains is the insertion site, the drain will be most often at mattress level/ bed height therefore level with insertion site, and the patient is required to lay supine (flat on their back) to ensure accurate

Where do you drain cerebrospinal fluid in the back?

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