Spinal Anesthesia

Spinal Anesthesia is also called spinal block, subarachnoid block, intradural block and intrathecal block, is a form of neuraxial regional anaesthesia involving the injection of a local anaesthetic or opioid into the subarachnoid space, generally through a fine needle, usually 9 cm long

fine needle.

Why we choose spinal anesthesia for patient ?

spinal anesthesia is commonly used technique in combination with sedation and genaral anesthesia .

spinal anesthesia is the most common technique widely , combination of sedation and general anesthesia , used below the umbilities ,

Orthopaedic surgery on the pelvis, hip, femur, knee, tibia, and ankle including arthroplasty and joint replacement
Vascular surgery on the leg
Endovascular aortic aneurysm repair
Hernia (inguinal or epigastric)
Haemorrhoidectomy
Nephrectomy and cystectomy in combination with general anaesthesia
Transurethral resection of the prostate and transurethral resection of bladder tumours
Hysterectomy in different techniques used
Caesarean sections
Pain management during vaginal birth and delivery
Urology cases
Examinations under anaesthesia

Anatomy

In spinal anesthesia, the needle is placed past the dura mater in subarachnoid space and between lumbar vertebrae. In order to reach this space, the needle must pierce through several layers of tissue and ligaments which include the supraspinous ligament, interspinous ligament, and ligamentum flavum In order to reach this space, the needle must pierce through several layers of tissue and ligaments which include the supraspinous ligament, interspinous ligament, and ligamentum flavum

Positioning

Patient positioning is essential to the success of the procedure and can affect how the anesthetic spreads following administration. There are 3 different positions which are used: sitting, lateral decubitus, and prone .

#BUPIVACAIN is the drug used in this anesthesia most commonly , some times opioieds also used to improve the quality of the drug .

Contradiction

Patient refusal

Local infection or sepsis at the site of injection

thrombocytopaenia, or systemic anticoagulation
Severe aortic stenosis
Increased intracranial pressure
Space occupying lesions of the brain
Anatomical disorders of the spine
Hypovolaemia e.g. following massive haemorrhage, including in obstetric patients
Allergy

Comments

Anatomy and Physiology of aterial line

Anatomy and Physiology The arterial pulse may be palpated in the extremities and the neck. With the knowledge of the contour of these vessels, the operator may easily identify the location of the artery. The anatomy of every site of insertion must be analyzed to determine the landmarks, the depth, the relationship to adjacent anatomical structures, and the size of the artery. The radial artery is superficial in the thenar area of the wrist where the radial bone joins the metacarpal bones. There, the radial pulse is best felt slightly medial to the extensor tendons of the thumb. The radial artery is a preferred site of insertion. The ulnar artery is opposite to the radial pulse in the volar aspect of the wrist at the joint of the ulnar bone to the metacarpal bones. The artery divides into 2 branches, both of which join a similar division of the radial artery to form a rich, collateral network known as the deep and superficial palma...

GallBladder ot ?? what is it ?

We all know about gallbladder operation and it is very common to heard from old aged person and gallbladder stone . but some it comes to our mind how it is formed ? and all something about that . gallbladder is a very vital part of our body which secrets some engyme helps to digest compound and complex food which we take . one end comes from it , called cystic duct which later collabed with common bile duct . and jointly conduct in duodenum . We comes to know a little bit of anatomy in the above passage . But here the main points comes where and why stone which formed of CaCo3 and Na+ , Ca+ , k+ ion .

Trolly layout for open-cholesyestectomy

today we are discussing about trolly layout of gallblader operation . we all know it is the common operation among middle aged man and elder person . for that reason we have to manage this instrument trolly for many times . lets see what are the instrument used here . one very improtant thing that is the trolly must be sterile for the instrument should be kept there . first of all we need towel clip for fixing the towel . then we need bard parker handle and insicion blade then we use allise and artery ALLISE ARTERY Then we use diathermy that after morrise retractor morrise retractor and then deverse retractor hence we are like to use succesion to remove the blood and internal fluid then we use use special instrument f...

Operation Theatre & Anesthesia Technology

Search This Blog