Accidental Total Spinal Anesthesia

Accidental Total Spinal Anesthesia Definition: ➧ A syndrome of the central neurological blockade.  ➧ It occurs when a volume of local anesthetic (LA) solution, intended for epidural anesthesia, enters the subarachnoid space and ascends to the cervical region. Causes:  a) After a known dural tap:  ➧ Accidental total spinal analgesia may occur...

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Failed Spinal Anesthesia

Failed Spinal Anesthesia Introduction: ➧ Spinal (intrathecal) anesthesia is one of the most reliable regional block methods: the needle insertion technique is relatively straightforward, with cerebrospinal fluid (CSF) providing both a clear endpoint of successful needle placement and a medium for carriage of local anesthetic (LA) within subarachnoid space. However, the...

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Management of Failed Spinal Anesthesia

Management of Failed Spinal Anesthesia ➧ Failure of a spinal anesthetic is an event of significant concern for both patient and anesthetist when it is immediately apparent, but it can have serious consequences (clinical and medico-legal) if the problem only becomes evident once surgery has started. ➧ This can be a source of pain, anxiety, and psychological...

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