Spinal and Epidural Anesthesia

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Contraindications To Spinal Anesthesia

Spinal anesthesia should not be attempted when there is a lack of availability of proper or necessary equipment for the same.

Special consideration should be given to patient with abnormal bleeding and clotting parameters, liver disease. Furthermore, patients receiving anticoagulants such as Warfarin or Heparin are at increased risk.†

Patients with severe fluid loss either by bleeding, vomiting, diarrhoea should be replaced with adequate fluids before being taken up for spinal anesthesia due to risk of hypotension.†

Patient refusal for the administration either due to lack of knowledge or preference for general anesthesia. It might be possible to convince some patients if the situation is properly explained.†

Uncooperative patients such as children, mentally challenged individuals, patients with psychiatric disorders.†

Anatomical difficulties that might make the administration of anesthesia difficult.†

Presence of neurological disease, infection of skin over the back potential risk of infection to the patient, surgeonís refusal to the administration.

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I had Ureteroscopy for stone and tumor disnosys in the ureta and went thru Epidural anesthesia, after that i am having sever pain in my left thighs and feet, the pain is sever when i tryt to walk or stand on my leg other wise the pain is very less. please let me know if somebody has solution to this. i sthis due to anesthesia complication, iam diabetic too.
mandreak Sunday, February 15, 2009
i ask for epidural relation to urinary retention and neurodisorder in IDDM patient
yanal Thursday, December 18, 2008
I had laser lithotripsy for removal of stone in ureta and went thru Epidural anesthesia ,since then I have low back pain running thru me left thigh,leg and feet.Please let me know wheter it a complication of anesthesia?
wahabrizvi Monday, November 10, 2008
Hey did you got some solution ot his or what is the cause of this, any idea?
mandreak Sunday, February 15, 2009
I also had same surgery and m having pain in my back and neck...pls tell us if any1 knws anything??
sagarsam Thursday, October 27, 2011
65 yr male with no medical history underwent k-nailing with double recon screws for #shaft femur with I/T # under spinal block failed to respond to I/V fluids(4 crystalloids+2 colloids and dopamine or Noradr died after 1 hr of surgery with normal ECG findings and normal chest and SpO2
guest Friday, August 24, 2007
spinal anesthesia with.5%heavy sensorcain 4ml.immediatly after deposition of drug patient had intense itching on buttucks & pernium brncospasm,jerks convulsions cynosis comacontrary to usual finding of hypotention and bradycardia patint after intubation had hypertention150to200systolic and pulse 140 to 170/min. I am not sure for the cause. patient expired after 9hours
guest Monday, April 02, 2007
Itching and bronchospasm point towards an allergic cause. jerks convulsions cyanosis point towards improper or delayed airway control. Was after intubation {hypertention150to200systolic and pulse 140 to 170/min }the surge of intubation? Since the patient is dead, we can just prevent others from having the same fate. Drug injection intravenously is unlikely. Spinal anaes. is generally very safe if performed skillfully with the proper precautions by a trained physician with proper guidance and adequate resources at his/her disposal.
pathchi1d Sunday, November 20, 2011

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