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SPINAL ANESTHESIA

Certainly! Spinal anaesthesia, also called a spinal block, is a type of regional anaesthesia that numbs a certain part of the body for surgery or pain relief. Let’s break it down so you can understand it:
  1. What’s spinal anaesthesia? For spinal anaesthesia, a local anaesthetic is injected into the lower back, especially into the space around the spinal cord. This medicine briefly stops the nerve signals from the lower body that send pain signals to the brain.
  2. How do you give spinal anaesthesia? The patient is either sitting up or lying on their side, and the doctor cleans the lower back area with an antiseptic fluid. Then, they use a thin needle to put it into the spinal canal, generally between two vertebrae. The needle is carefully moved until it hits the right spot near the spinal cord.
  3. Medication Injection:
  4. Once the needle is in the right place, the doctor injects a small amount of local anaesthetic medicine into the spinal canal. This medicine numbs the nerves and stops them from sending pain messages to the brain for a short time. Sometimes, extra medicines, like opioids or adjuvants, are added to make the pain relief stronger or last longer.
  5. When it starts to work and how long it lasts:
  6. Spinal anaesthesia usually starts working quickly, with the numbing effect happening within minutes. The doctor carefully handles the dose to make sure that there is enough pain relief and that side effects are kept to a minimum.
  7. Surgery or Pain Relief: Once the anaesthesia takes effect, the patient’s lower body, including the legs, hips, and lower belly, will usually feel numb and lose feeling. Even though the patient is numbed, he or she stays awake and aware during the process. If needed, sedatives can be given to help the patient sleep.
  8. Care and monitoring: During the process, the doctor keeps a close eye on the patient’s vital signs, such as blood pressure, heart rate, and oxygen levels, to make sure they are safe and make any necessary changes. During the process, the patient’s happiness and well-being come first.
  9. Recovery: The effects of spinal anaesthesia wear off slowly after the surgery or pain relief time. Over time, the lower body starts to feel and move again. Spinal anaesthesia can last from a few hours to a few days, based on the drugs that are used. The patient is kept an eye on in the recovery area until they have full feeling back and are stable enough to go home or to a hospital room.
Spinal anaesthesia is a method that has been around for a long time and is used a lot. It is an effective way to control pain and lets doctors do surgeries and other procedures without using general anaesthesia. Skilled anesthesiologists do the process, making sure that the patient is safe, comfortable, and that the surgery goes as well as it can.

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Author

  • Renny

    Dr Renny , is a well-regarded anesthesiologist with years of experience in a broad variety of surgical specialties. He has built a sterling reputation as an anesthesiologist over more than a decade of service to people of all ages and walks of life. Experience: 1. Consultant, VPS Lakeshore Hospital Kochi 08/2015- Present. 2. Specialist, PVS Memorial Hospital Kochi 07/2013-07/2014. 3. Resident, Sunrise Hospital Kochi 08/2010-07/2013.   Achievements in Anesthesia 100+ liver transplants, 100+ kidney transplants, 1 intestinal transplant, 1 combined kidney-pancreas transplant, 2 hand transplants. 500+ adductor canal blocks, 400+ erector spinae blocks in addition to brachial plexus blocks, lower limb blocks 300+ joint replacements, polytrauma management, spine surgeries including scoliosis correction, brachial plexus surgeries, and head injury. Awake fiber optic intubations, and microlaryngeal surgeries. Knee replacement for alkaptonuria, liver transplant for hyperoxaluria, Wilson’s disease, hepatopulmobary syndrome (SpO270%). Anesthesia to live CME surgeries- Scoliosis by Dr Krishna Kumar, Urology surgeries by Dr George P Abraham, Laparoscopic surgeries by Dr Padmakumar. DNB co-ordinator for Formative Assessment Test 2018, 2020, 2021 DNB guide since 2018.

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