Department of Anesthesiology

Vicente Sotto Memorial Medical Center

B. Rodriguez St. Cebu City

Name: Date:

LUMBAR TAP PROCEDURE CHECKLIST

PERFORMED NOT
PERFORMED
1.) Introduce oneself to patient
2.) Verify patient’s identity, diagnosis, proposed surgical procedure and
signed anesthesia consent.
3.) Attach NIBP cuff, pulse oxymeter, and ECG leads to patient. Check
IV access. Get baseline vital signs.
4.) Explain anesthetic technique and possible outcome.
5.) Position patient.
6.) Identify the landmarks.
7.) Prepare spinal kit with proper aseptic technique.
8.) Apply sterile drapes.
9.) Withdraw Lidocaine 2% in the 3cc syringe and required dose of
Bupivacaine 0.5% hyperbaric in the 5cc syringe. Re-identify the
intended interspace. Inform the patient you are about to inject local
anesthetic.
10.) Insert the spinal needle in the middle of the interspace with proper
angulation.
11.) Advance through the anatomic structures until the subarachnoid
space is reached. Withdraw the stylet once a “pop” is felt to assess
the CSF flow.
12.) If attempt is unsuccessful (bone encountered, no CSF flow, etc.),
withdraw the spinal needle to the subcutaneous tissue (without
exiting the skin) and redirect the spinal needle.
13.) Confirm CSF flow by aspiration before and after injecting the
anesthetic.
14.) Remove the spinal needle once completed and apply pressure.
15.) Remove the draping. Lay the patient and observe vitals. Dispose of
all sharps and biohazard material appropriately.
TOTAL

REMARKS:
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Anesthesia Resident in Charge