Ephedrine versus phenylephrine: Prevention of hypotension during
spinal block for cesarean section and effects on the fetus.
Spinal block with 10 mg of hyperbaric bupivacaine associated with 5 ?g of sufentanil for cesarean section, study of different volumes.
Effect of adding dexmedetomidine versus fentanyl to intrathecal bupivacaine on
spinal block characteristics and neonatal outcome in uncomplicated cesarean delivery: a randomized double blind placebo controlled study.
"I had a
spinal block to numb the pain but even that failed.
Resolution of the
spinal block was assessed by the time to two-segment L1 and S3 regression of the sensory block.
What If My Patient Is Febrile, Can I Place a
Spinal Block? Serious central neuraxial infections such as arachnoiditis, meningitis, and abscess following spinal or epidural anesthesia are rare.
He asked me about my anesthesiology from those operations and I shared that I had been given a
spinal block and then kept sleeping during the operation.
He wasn't strong enough for a general anaesthetic and had a
spinal block instead.
Following the intrathecal injection there is a pre-existing area of subclinical analgesia cranial to the spinal segment corresponding with the maximum level of
spinal block. Herein, a subclinical concentration of local anaesthetic is present and this area can be converted to complete analgesia, providing a rapid increase in sensory level, by using an otherwise inadequate dose of epidural local anaesthetic (29).
A high or total (complete)
spinal block is an anaesthetic emergency and prompt and definitive treatment and management should proceed before the airway protective reflexes are lost, ventilation becomes compromised or haemodynamic collapse happens (asystole or pulseless electrical activity).
Propofol infusion provides excellent sedation during
spinal block. The advantages to its use are that the technique is safe, simple, depth of sedation can be easily altered and recovery is within 5 minutes after stopping the infusion (14).
