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Spinal anaesthesia (or spinal anesthesia), also called spinal block, subarachnoid block, intradural block and intrathecal block, [1] is a form of neuraxial regional anaesthesia involving the injection of a local anaesthetic or opioid into the subarachnoid space, generally through a fine needle, usually 9 cm (3.5 in) long.
This allows patients to undergo surgery and other procedures without the distress and pain they would otherwise experience. An alternative definition is a "reversible lack of awareness," including a total lack of awareness (e.g. a general anesthetic) or a lack of awareness of a part of the body such as a spinal anesthetic.
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF). It is useful in several applications, such as for spinal anesthesia, chemotherapy, or pain management. This route is also used to introduce drugs that fight ...
The mean density of cerebrospinal fluid at 37°C is 1.0003 g litre −1, with a range of 1.0000–1.0006 (± 2 standard deviations) g litre −1. [1] Solutions that have a density very close to that of cerebrospinal fluid have a baricity approaching 1.0 and are referred to as isobaric.
The following diagram is provided as an overview of and topical guide to the human nervous system: Human nervous system. Human nervous system – the part of the human body that coordinates a person's voluntary and involuntary actions and transmits signals between different parts of the body.
Anesthetic overdose-caused medullary paralysis with respiratory arrest and vasomotor collapse. Pupils are widely dilated and muscles are relaxed. In 1954, Joseph F. Artusio further divided the first stage in Guedel's classification into three planes. [9] 1st plane The patient does not experience amnesia or analgesia
The spinal needle is then withdrawn and the epidural catheter inserted in the standard manner. Alternatively, a two-level approach may be undertaken. The epidural space is first located in the standard manner. Then, at another level, a standard spinal is performed. Finally, the epidural catheter is threaded through the Tuohy needle.
Spinal cord - grey matter Rexed laminae Look up Rexed lamina in Wiktionary, the free dictionary. The Rexed laminae (singular: Rexed lamina) comprise a system of ten layers of grey matter (I–X), identified in the early 1950s by Bror Rexed to label portions of the grey columns of the spinal cord .