Spinal anesthesia (adult)
Clinical Procedure
 
Aliases:
Intrathecal anaesthesia (Adult)
Spinal Anaesthesia (Adult)
Intrathecal Anesthesia (Adult)

Topic aliases are alternate phrasings for a particular topic.


You cannot endorse your own point endorse endorse
"With [intrathecal] morphine 0.05 to 0.5mg, the NNH for respiratory depression varied between 26 and 30 depending on the definition of respiratory depression chosen." Review paper 2011 refl.in/na

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Feb 02, 2012
Download attachment
You cannot endorse your own point endorse endorse
A subdural injection resulting in a patchy block may occur if the spinal needle is not sufficiently through the dura and arachnoid mater.

Image from m.bja.oxfordjournals.org/...

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jan 20, 2013
Download attachment
You cannot endorse your own point endorse endorse
Consider the elevated risk of spinal haematoma if the patient has reduced platelet function. (eg renal failure, antiplatelet agents, thrombocytopaenia)

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jan 20, 2013
You cannot endorse your own point endorse endorse
Contraindicated in anticoagulated patients ( Warfarin, Coumadin, therapeutic clexane)

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jan 20, 2013
You cannot endorse your own point endorse endorse
Inadequate dose may be delivered if the spinal needle is not sufficiently through the dura.

Image from m.bja.oxfordjournals.org/...

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jan 20, 2013
You cannot endorse your own point endorse endorse
Only morphine preparations free of sodium metabisulfite should be used in the intrathecal space.
www.tga.gov.au/hp/informa...

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 21, 2012
Cancel
You cannot endorse your own point endorse endorse
Long acting antiplatelet ADP inhibitors (clopidogrel) should be withheld 7-10 days prior to performing a neuraxial block. ASRA Guidelines 3rd Edition refl.in/bv

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Oct 08, 2012
Cancel
You cannot endorse your own point endorse endorse
Comparison of different spinal needle types.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
You cannot endorse your own point endorse endorse
Quinke needle (cutting) refl.in/9d

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
You cannot endorse your own point endorse endorse
Sprotte pencil point needle refl.in/9d

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
You cannot endorse your own point endorse endorse
Whitacre pencil point needle refl.in/9d

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
Cancel
You cannot endorse your own point endorse endorse
Dose for prolonged knee surgery eg total knee replacement.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
May 18, 2011
2.5-3.5ml 0.5% bupivicaine plus 15mcg Fentanyl #ref
Edit | (delete)
Cancel
You cannot endorse your own point endorse endorse
Dose for cesarian section

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
May 18, 2011
1.8-2.5ml 0.5% heavy bupivicaine with 15mcg fentanil #ref
Edit | (delete)
Cancel
1 You cannot endorse your own point endorse endorse
Only co-loading with intravenous fluids has been shown to reduce hypotension due to neuraxial block, not preloading.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , Pieter Peach , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
Dec 31, 2011
Good summary of evidence here. refl.in/1j p43
Edit | (delete)
Download attachment
Cancel
You cannot endorse your own point endorse endorse
Systematic review of all trials with randomisation to intraoperative neuraxial blockade or not. (?what are the patient groups?). Neuraxial blockade reduces postoperative mortality and other serious complications compared with general anaesthesia. Review article, BMJ 321 : 1493. 2000 refl.in/88

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Apr 07, 2012
Download attachment
Cancel
0
Video
0
Other