Spinal anaesthesia for elective surgery

Spinal Anaesthesia in Spinal Surgery

Anaesthesia for spinal surgery in adults.

The spectrum of spinal surgery in adult life is considerable. Anaesthesia for major spinal surgery, such as spinal stabilization following trauma or neoplastic disease, or for correction of scoliosis, presents a number of challenges. The type of patients who would have been declined surgery 20 yr ago for medical reasons, are now being offered extensive procedures. They commonly have preoperativ...

Spinal anaesthesia for minor paediatric surgery.

Our recent experience using spinal anaesthesia for paediatric surgical procedures is reviewed. In 1984, 30 patients aged seven weeks to 13 years were anaesthetised in this manner. Lumbar puncture failed in four of 34 patients, 12 required sedation during the operative course and 11 required light general anaesthesia to complete these procedures. Tetracaine one per cent or bupivacaine 0.75 per c...

Is Spinal Anaesthesia Useful in Day Surgery?

58 Vol. 10 No. 2, April-June 2008 Introduction: An increasing number of day-case surgical patients are challenging the presently used methods of anaesthesia:. Surgical anaesthesia should be fast, reliable with rapid recovery and minimal side effects. To compete with modern ambulatory general anaesthesia, knowledge of special spinal anaesthesia techniques is essential. 'Walk-in, walk-out' spinal...

Comparison of pentastarch and Hartmann's solution for volume preloading in spinal anaesthesia for elective caesarean section.

We studied 160 patients undergoing elective Caesarean section under spinal anaesthesia who received a preloading volume of 15 ml kg-1 of 10% pentastarch in 0.9% saline, or Hartmann's solution, in a prospective, randomized, double-blind study. We compared the incidence of spinal-induced hypotension in each group. Hypotension was defined as a decrease in systolic arterial pressure to less than 70...