complications of spinal anaesthesia ppt

Study design: Prospective study in multiple centres over a two years period. 58 patients received epidural anesthesia and 81 received spinal anesthesia. Spinal anaesthesia reduces perioperative risk in total knee replacement surgery . Hypotension after spinal anesthesia is a physiological consequence of sympathetic blockade. and volatile agents affect evoked potential characteristics but propofol causes significantly less suppression at a comparable depth of anaesthesia. 76 In addition, central neuraxial anesthesia has been show to decrease the hypnotic requirements of midazolam, thiopental, and potent inhaled anesthetics. Local Anesthesia has been defined as Loss of sensation in a circumscribed area of the body caused by depression of excitation in nerve endings or inhibition of the conduction process in peripheral nerves. The mother is able to remain awake and participate fully in the birthing experience, thus facilitating earlier bonding . Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Explain risk and benefits. Nerve damage- this is a rare complication of spinal anaesthesia. Caudal epidural blockade in children is one of the most widely administered techniques of regional anaesthesia. 62 Both i.v. The Journal of Perinatal and Neonatal Nursing, 19(3), 207-209. Anesthesia for Spine Surgery Sherif . [Practice and complications of spinal anesthesia in ... 2. World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. It is important to think ahead. It is the regional anaesthesia obtained by temporary interruption of nerve transmission of spinal nerves by injecting anaesthetic agents in to the subarachnoid space. Spinal haematoma following spinal anaesthesia is a severe complication that requires early surgical intervention to prevent permanent neurological damage. Recent clinical studies have answered major pharmacodynamic and pharmacokinetic questions, thus providing the scientific background for safe and effective blocks in daily clinical practice and demonstrating that patient selection can be expanded to range from extreme preterm births . Early ambulation Complications of local. Pain control: consider epidural or patient controlled analgesia (PCA) with opiates as well as other non-opiate adjuncts. No patient required . PDF Anesthetic Management of Abdominal Surgery PDF Anesthetic Implications for the Patient With Osteogenesis ... Retrieved November 19, 2007, from Ovid Technologies Inc, database. Ans:b. Pain control: consider epidural or patient controlled analgesia (PCA) with opiates as well as other non-opiate adjuncts. Blood Transfusion ppt. 2. The incidence of epidural hematoma formation increases to 33:100,000 for epidural anesthesia and 1:100,000 for spinal anesthesia. Cardiovascular . Indication contraindication and complications 10. Give antiemetics to prevent/treat postoperative nausea and vomiting. Spinal anesthesia is usually used for surgery on the lower abdomen, groin area, perineum, or lower extremities. 4. Local Complications 1. ANAESTHETICS USEDHYPERBARIC (HEAVY)LIGNOCAINE 5% IN 7.5%DEXTROSEBUPIVACAINE 0.5% IN 5% DEXTROSE. at risk of suboptimal recovery, such as those recovering from stroke, myocardial infarction or perinatal complications. tion of fractures. JR Hebel, TT Horlocker, DR Schroeder. Anesthesia in Preeclampsia General anesthesia is a well-known hazard in obstetric anesthesia: 16X more likely to result in anestheticrelated maternal mortality Mostly due to airway/respiratory complications, which would only be exaggerated in preeclampsia Hawkins, Anesthesiology 1997;86:273 Platelets & Regional Anesthesia - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 569420-MjVkZ 77-79 The proposed mechanism for this independent sedative effect of spinal anesthesia is a . tion of fractures. Purpose: Enhanced recovery after surgery (ERAS) protocols aim to develop peri-operative multidisciplinary programs to shorten length of hospital stay (LOS) and reduce complications, readmissions and costs for patients undergoing major surgery. Recognition of potential complications of the disorder is vitally important for the anesthesia provider as well as for all staff involved in the continuum of care of patients with osteogenesis imperfecta. 8. Complications are related to either exaggerated physiologic responses or needle/catheter insertion and include: Presented by: Dr.Anurag Giri. Yentis S et al (2001) Analgesia, Anaesthesia and Pregnancy - A Practical Guide Chapter 46, pages 121 - 124. Dr.M.Kannan MD DA Professor And HOD Department of Anaesthesiology Tirunelveli Medical College Spinal Anaesthesia * * * * * * Indication Economical Pulmonary Diseases Full Stomach Lower Abdominal Surgery Ischemic Heart Diseases for Lower Abdominal Surgery Relative Contraindication Hypotensive Patients Cardiac failure Raised ICT Spinal Deformity Refusing Patients Bleeding Diathesis Skin . Anesthetic Management of Abdominal Surgery 57 ASA 1 Healthy patient without organic, biochemical, or psychiatric disease. Spinal anesthesia. The anesthetic agent is . Temporary loss of sensation, pins and needles and sometimes muscle weakness may last for a few days or even weeks, but most disappear with time and a full recovery is made. Wanawimol Saengchote M.D. When correctly performed there is little danger of either the spinal cord or dura being damaged. HISTORY • Corning accidentally administered cocaine intrathecally in 1885 • The first spinal anaesthesia in humans was given by Beir from Germany in 1898 using 0.5% cocaine. Patients . Introduction Caudal anaesthesia has been used for many years and is the easiest and safest approach to the epidural space. Local anaesthesia.ppt - The basic advantages of local anesthesia \u2022 1 Safety for the patient \u2022 2 Simplicity of a technique \u2022 3 Cheapness of a . 38 . They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Complications The complication rate for interscalene blocks is relatively high. Atrial fibrillation is poorly tolerated. A high SPINAL ANESTHESIA. Breast Cancer ppt. Winner of the Standing Ovation Award for "Best PowerPoint Templates" from Presentations Magazine. ASA 2 A patient with mild systemic disease e.g., mild asthma or well controlled hypertension. Stenuit J, Marchand P: [Sequelae of spinal anesthesia]. Risk factors contributing to neurologic deficit after neuraxial anesthesia include spinal cord ischemia (hypothesized to be related to the use of vasoconstrictors or . This document has been produced to guide the neurological monitoring of obstetric patients who receive neuraxial analgesia or anaesthesia, in order to support earlier detection and minimise harm. In the UK, the Third National Audit Project of the Royal College of Anaesthetists found that permanent injury after CNB caused by spinal haematoma or abscess, but also by meningitis, nerve injury, spinal cord ischaemia, fatal cardiovascular collapse or wrong-route errors, was 1:23 810 cases (4.2 . Hematoma 7. Objective: To evaluate the risk of the practice of spinal anaesthesia (SA) in African tropics. Postdural puncture headache (PDPH) is a common complication of spinal anesthesia, with an estimated incidence of less than 3%. The sympathetic block can exceed motor/sensory by two dermatomes. 45.All are surface anesthetics except a) Lignocaine b . Results: Spinal anesthesia was performed easily in all 30 patients, although two patients complained of paraesthesiae, which responded to slight needle withdrawal. Neuraxial Anesthesia • Neuraxial anesthesia is a type of regional anesthesia that involves injection of anesthetic medication in the fatty tissue that surround the nerve roots as they exist the spine (also known as an epidural and caudal) or into the cerebrospinal fluid which surrounds the spinal . 3. Neuraxial Anesthesia Anesthesia department Al azhar university 2016 2. Acta Neurol Psychiatr Belg 1968;68:626 . The most common are postdural puncture headache and hypotension. 43.The most common complication in spinal anesthesia is a) Post spinal headache b) Hypotension c) Meningitis d) Arrhythmia. Spinal anesthesia : is the injection of small amounts of local anaesthetics into the ( CSF ) at the level below ( L2 ) ,where the spinal cord ends , anesthesia of the lower . Hypotension Most common complication Due to sympathetic blockade Treatment: Prophylactic: preloading with 1-1.5L of crystalloid Curative: head low position (15degree) A. Fluids B. Ephedrine (vasopressor) C. Oxygen inhalation. Symptomatic arrhythmias should be treated, and attempts made to control heart rate to around 80 beats per minute. Critical events are highest in infants < 2 kg [Tay et. Discuss with the patient options for anesthesia. ANATOMY PHYSIOLOGY ppt. Preoperative assessment. 4. The technique of administering spinal anesthesia can be described as the "4 P's": preparation, position, projection, and puncture. The spectrum of spinal surgery in adult life is considerable. Cancer Drugs ppt. All patients had either neuraxial anesthesia or analgesia. The first regional anesthetic technique performed was spinal anesthesia, and the first operation under spinal anesthesia was in 1898 in Germany by August Bier. 4. fDefinition. Spinal anesthesia blocks small, unmyelinated sympathetic fibers first, after which it blocks myelinated (sensory and motor) fibers. Give antiemetics to prevent/treat postoperative nausea and vomiting. Spinal anaesthesia in pregnancy Decreased dose requirement due to • Mechanical factor : compression of IVC causes shunting of blood to the venous plexus in the vertebral canal- decreased vertebral canal space and CSF volume • Hormonal factor - higher progesterone levels 72. Neuraxial anesthesia 1. If CSF leakage occurs at a rate greater than that of CSF production (0.3 . BIOLOGY ppt. ANAESTHESIA ppt. • Subarachnoid space - between spinal cord and the dura • extends from the foramen magnum to the sacral hiatus & contains CSFhiatus & contains CSF • administration of local anesthetic or opioid - rapid onset of analgesia/anesthesia - limited duration • ***Medications are 10-20 times more potent than in epidural space Trismus 5. 103(1), 2006. Interestingly, two textbooks on the complications of anaesthesia appear to provide no definition of this term 10, 11, but a third, by Valchanov et al., offers the following, without citing any prior source: 'a complication is an unfavourable evolution of a disease process or its management' 12. Before this, the only local anesthetic techniques were topical anesthesia . Technique of SPinAL AneSTheSiA indicATion And conTrAindicATion Guided by: Dr. Shubhada Deshmukh (M.D.) Employing the methods of the early 20th century, spinal anesthesia was frequently followed by severe and prolonged headache, casting a long shadow over the development and acceptance of this modality. The patient should be informed of what to expect and potential complications. Inform the Prevention and management begin during the preoperative visit with a careful evaluation of the patient's medical history and appropriate preoperative discussion of the risks and benefits of the available anesthetic techniques. Complications of Spinal Anesthesia. When assessing a patient for anaesthesia, ask about related illnesses such as ischaemic heart disease, renal failure and cerebrovascular disease. Technique 11. Chart and Diagram Slides for PowerPoint - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. All patients having spinal anaesthesia must have a large intravenous cannula inserted and be given intravenous fluids immediately before the spinal. Untreated, severe hypertension can lead to serious post operative complications for example myocardial infarction, cerebral haemorrhage, infarction and renal failure. Early ambulation Spinal anesthesia, a form of regional anesthesia involves the injection of certain anesthetic drugs into a fluid-filled space in which the spinal cord and the nerves arising from it are suspended . Differences between spinal and Epidural Anesthesia. 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