spinal anaesthesia

Question 1

Complications of spinal anasestheia

Answer 1

Hypotension because sympathetic nerves affected
bradycardia if T2-T5 affected
nausea and vomiting due to hypotension
headache
respiratory effects if block gets higher and start to get total
Total Spinal

Question 2

Management of Total Spinal

Answer 2

Airway
Breathing
Circulation
Continue till block wears off
Sedation

Give 100% O2, secure airway, intubate, ventilate,give IV fluids 2-4 hours till block wears off, give sedation when patient becomes conscious again. Continue to intubate until total block wears off

Question 3

Signs of LA Toxicity

Answer 3

Tingling in tongue
Ringing in ears
Light headed
delirious
convulsion
cardia arrest/VF

Question 4

Contraindications of spinals

Answer 4

clotting disorders ( if given heparin then no spinal due to risk of haematoma)
Hypovolaemia
septicaemia
anatomical deformities
neurological disease
aortic/mitral stenosis

Question 5

what is a total spinal

Answer 5

block spread up to brain stem, patient loses consciousness. *emergency

Question 6

Preparation of Anaesthetic Room for Spinal

Answer 6

Set up equipment for GA (mask, airways, intubation, suction) drugs for GA, emergency drugs, prepare IV, wide bored 14G/16G. PLUS specific spinal prep. including chorohexidine gluconate, sterile gloves, sterile plaster, spinal pack, lignocaine for skin

Question 7

Advantages of spinal

Answer 7

useful when patient poor candidate for GA
patient airway
reduced risk of VTE 
less bleeding than GA
Cost, cheaper than GA

Question 8

Disadvantages of Spinal

Answer 8

Failed spinal
hypotension
suitability of patient
duration of block
risk of infection and post dural headache

Question 9

What is spinal anesthesia

Answer 9

small amount of local anaesthetic into CSF
temporary blockade of sensory, motor and autonomic nerves that come into contact with solution
injected into lumbar spine below L2 (subarachnod space)
Quick onset 3-5mins