Patient (condition)
 
Aliases:
total spinal

Topic aliases are alternate phrasings for a particular topic.


"Total spinal is a local anaesthetic depression of the cervical spinal cord and the brainstem. It may follow excessive spread of an intrathecal injection of local anaesthetic, or inadvertent spinal injection of an epidural dose of local anaesthetic." refl.in/kd

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Treat hypotension and bradycardia with intravenous fluids, atropine and vasopressors early. Delayed therapy may result in a combination of hypoxia, bradycardia and hypotension that may result in a cardiac arrest. refl.in/kc

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Significant respiratory and cardiovascular compromise can occur whilst the patient is still aware. Commence anaesthesia. refl.in/4j

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Bradycardia, when it occurs, results from blockade of cardio-accelerator fibers located at T1-T4. refl.in/kd

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Adrenaline infusion may be required to manage bradycardia and hypotension refl.in/4j

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Patient will require ventilation and sedation in intensive care refl.in/4i

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