Paraspinous / Paramedian Approach to Lumbar Puncture / Spinal Anesthesia

A guide to the landmark-guided paraspinous / paramedian approach to lumbar puncture, spinal, or epidural anesthesia. This is very useful in patients with narrowed midline interspinous spaces. The repetition is intentional - as always feel free to skip to the bits you like best! Also see links to relevant US-guided neuraxial blocks in difficult patients 0:56 = Video of paraspinous approach in sitting position 2:52 = Step-by-step walkthrough 5:51 = Lateral decubitus position 7:08 = Video of paraspinous approach in lateral position 9:25 = Final tips 10:22 = Anatomy of spinous processes 12:55 = Obesity 14:04 = Scoliosis US imaging of the spine in scoliosis - US imaging of the spine in obesity -