Spinal procedures Flashcards
Where does a spinal block go?
Sub arachnoid
What are the characteristics of a spinal block?
3ml
Fast acting, intense and quick to wear off
Used to below umbilical procedures
How do you know you are in the sub arachnoid space?
Clear CSF may come out
What are the side effects of a spinal block?
Hypotension
post dural puncture Headaches
High spinal
Where does a epidural go
Superficial to dura, just pass ligamentum flavum
What are the characteristics of a epidural?
Large volume, slower to act and wear off.
Used to post surgical or labour
Sensory
How do you know you are in the epidural?
Loss of resistance technique
What are some contraindications to a spinal?
raised ICP
Local or general sepsis - danger of introducing it to spine
Coagulation disorders
Uncorrected hypovoleamia
