COMPLICATIONS OF SPINAL ANESTHESIA

HYPOTENSION-1
BRADY CARDIA-2
NAUSIA AND VOMITING-3
HIGH BLOCK = TOTAL SPINAL ( LOSS OF -4
. CONSCIOUSNESS,HYPOTENSION ,BRADYCARDIA,APONEA )
. URINE RETAINTION-5
.HEADACHE-6
NEUROLOGICAL SEQUALAE ( MENINGITIS , MYELITIS, QAUDA -7
EQUINA SYNDROME, DIPLOPIA FROM 6TH CRANIAL NERVE PULSY)

HYPOTENSION
DECREASE BLOOD PRESSOR 30% FROM PREOPERATIVE LEVEL
TREATMENT
% INSPIRED OXYGEN AT LEAST 40 -1
. CRYSTALLOID INTRAVENOUS SOLUTION AT LEAST 500-1000 ml -2
.HEAD DOWN , LEGS RAISED UP -3
VASOPRESSORS( EPHEDRINE 3- 6 mg iv OR,METHOXAMINE 1 - 2 mg -4
,PHENELEPHRINE 25-50 MICROGRAM iv )
..LOOK FOR OTHER CAUSES LIKE BLOOD LOSS,PACKS, RETRACTOR -5
POST DURAL PUNCTURE HEADACHE
THROBBING INCREASES ON STANDING, DECREASES ON LAYING DOWN,
OCCIPITAL, FRONTAL,VERTICAL,ONSET WITH IN 3 DAYS, CAUSED BY
. LOW CSF PRESSURE
TREATMENT
BED REST -1
ANALGESIA PARACETAMOL TABLET 500mg / 6 HOURLY OR ASPERIN -2
. TABLET 300 mg / 8 hourly
FLUID INTAKE 0.5 -3 LITRES / DAY-3
CAFFAINE 500 mg IV -4
IF NOT RELEIVED WITHIN 24 HOURS OF CONSERVATIVE TREATMENT
EPIDURAL-5
AUTOLOGUS BLOOD 20 ml INJECTED 90% PAIN RELEIF . HARTMAN SOLUTION INFUSED CONTINOUSLY -