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Spinal Anaesthesia Essentials

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Spinal Anaesthesia Essentials

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Undergrad quick review

Created by

Abhinaya Manem
Abhinaya Manem
India

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Spinal Anaesthesia Essentials
 

Spinal Anaesthesia EssentialsOnline version

Undergrad quick review

by Abhinaya Manem
1

What is the primary site where spinal anaesthesia is injected?

2

What is a common onset time for spinal anaesthesia after injection?

3

Which complication is characteristic of CSF leakage after dural puncture?

4

Which is an absolute contraindication to spinal anaesthesia?

5

Which needle size is commonly used for spinal anaesthesia in adults?

6

At what interspace is spinal anaesthesia typically performed in adults?

7

Which local anaesthetic is most commonly used intrathecally for spinal blocks?

8

Which statement best describes intrathecal opioids like fentanyl?

9

What is a common cardiovascular effect during spinal anaesthesia?

10

Why is patient positioning important after a spinal injection?

Feedback

Spinal anaesthesia is injected into the CSF within the subarachnoid space, near the lumbar region.

The rapid onset is due to direct CSF exposure; effects typically appear within minutes.

PDPH results from CSF leak through the puncture site, causing orthostatic headache.

Coagulopathy greatly increases risk of spinal hematoma and is a key absolute contraindication.

Small-gauge spinal needles (25-27G) reduce risk of PDPH compared to larger gauges.

Puncture is usually at L3-L4 or L4-L5 to avoid injury to the cord.

Hyperbaric/0.5% bupivacaine is a standard choice for spinal blocks due to good duration.

Intrathecal fentanyl augments analgesia with minimal impact on motor function.

Sympathetic blockade can cause vasodilation and hypotension; fluids and vasopressors are used.

The baricity of the solution and posture determine its spread within the CSF.

 
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