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Anaesthesia & Intensive Care Medicine, 2009
Spinal anaesthesia is the injection of local anaesthetic into the subarachnoid space. It is a simple technique that can be used to provide surgical anaesthesia for procedures involving the abdomen, pelvis and lower limbs. To perform the technique safely it is important to understand the physiology of the block and the pharmacology of the drugs commonly
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Spinal anaesthesia is the injection of local anaesthetic into the subarachnoid space. It is a simple technique that can be used to provide surgical anaesthesia for procedures involving the abdomen, pelvis and lower limbs. To perform the technique safely it is important to understand the physiology of the block and the pharmacology of the drugs commonly
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Anaesthesia for spinal surgery
Anaesthesia & Intensive Care Medicine, 2012Abstract Spinal surgery encompasses a wide variety of procedures (elective and emergency) in a range of patients from the very young to the elderly. Patients may suffer from multiple co-morbidities and systemic diseases (e.g. rheumatoid arthritis, ankylosing spondylitis) which will be addressed within the scope of this article. Anaesthetic management
LawMin, JC, Sharma, A, Irwin, MG
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Spinal anaesthesia in obstetrics
Best Practice & Research Clinical Anaesthesiology, 2023This article provides a comprehensive review of the technique, drugs of choice, and potential side effects and complications associated with the drugs used and the single-shot spinal anaesthesia (SSS) technique for caesarean delivery. Although neuraxial analgesia and anaesthesia are generally considered safe, all interventions come with potential ...
Vincent Pirenne +2 more
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Spinal anaesthesia in the neonate
Best Practice & Research Clinical Anaesthesiology, 2010Postoperative apnoea in ex-premature infants is inversely proportional to gestational age at birth and postmenstrual age (PMA). Spinal anaesthesia is an important technique in ex-premature infants as it reduces the risk of postoperative apnoea, provided intra-operative sedation is avoided.
Geoff Frawley, Pablo Ingelmo
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SPINAL ANAESTHESIA BY THE OBSTETRICIAN
BJOG: An International Journal of Obstetrics & Gynaecology, 1971SummaryIn 12 years 2995 spinal anaesthetics were administered in one obstetric unit, 2854 of them for vaginal deliveries. In the latter the spontaneous delivery rate was 9 per cent and the operative delivery rate 89 per cent, the remainder being breech and twin deliveries.
T. McG. McNie +2 more
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Spinal anaesthesia and dysfibrinogenaemia
International Journal of Obstetric Anesthesia, 2001We report the case of a 34-year-old woman who presented to the delivery unit at 36 weeks' gestation with spontaneous rupture of membranes. She had a triplet pregnancy following in vitro fertilisation. An elective caesarean section was performed under spinal anaesthesia 4h after admission. The patient had a massive postpartum haemorrhage in the recovery
G Evans, P Popham, D.J Meldrum
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Physiology of spinal anaesthesia and practical suggestions for successful spinal anaesthesia
Best Practice & Research Clinical Anaesthesiology, 2003There are numerous physiological effects of spinal anaesthesia. This chapter focuses on the physiological effects that are of clinical relevance to the anaesthesiologist, and provides suggestions for successful management of this simple and popular technique.
Spencer S. Liu +2 more
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Spinal anaesthesia in paediatrics
Best Practice & Research Clinical Anaesthesiology, 2003The use of spinal anaesthesia in children has been primarily limited to situations in which general anaesthesia was considered to pose an excessive risk. The ex-premature infant and the neurologically impaired child account for the majority of spinal anaesthetics used today.
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Bupivacaine spinal anaesthesia
Acta Anaesthesiologica Scandinavica, 1991This review presents facts and controversies from the recent literature about bupivacaine in spinal anaesthesia for the benefit of clinical ...
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Spinal anaesthesia for obstetrics
Best Practice & Research Clinical Anaesthesiology, 2003For a long time, epidural anaesthesia has been considered the method of choice for Caesarean delivery. The increased incidence of hypotension by the rapid onset of sympathetic blockade under spinal anaesthesia has been associated with a decline in uteroplacental blood flow and significant fetal acidosis, which may compromise neonatal well-being ...
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