The most common complication in spinal anaesthesia is
During surgery 1. Hypotension most common complication Rx. Prophylactic preloading with 1-1.5L of fluids (colloid preferred) Curative: a Foot end elevation b Infusion of fluids (colloids better than crystalloids) c Vasopressors Mephentermine Ephedrine Phenyl Ephrine Dopamine (if not controlled) 2. Bradycardia Rx-Atropine 3. High Spinal complications depends on levels of block up to cardio-accelrator fibres then bradycardia & hypotension, if involves cervical Diaphragmatic paralysis occur Rx. IPPV 4. Resp. paralysis (Apnea) 5. Nausea & Vomiting Rx- oxygenation Correct hypotension Metoclopramide/ Ondansetron (if not C/I) 6. Apprehension & anxiety Rx-sedate the patient Post op. 1. urinary retention 2. Neurological complications A. Post spinal headache B. Cauda equina syndrome C. Paraplegia (mostly because of epidural haematoma) Rs: Exploration & drainage of haematoma D. Paralysis of cranial N. 6th most commonly (1st ,9th, 10th are not involved) E. Anterior spinal A. syndrome F. Meningitis 3. Backache
Post spinal headache
Hypotension
Meningitis
Arrhythmia
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