Spinal Anesthesia Overview
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Questions and Answers

What are the three components of the general anaesthetic triad?

  • Analgesia, Disorientation, Excitement
  • Hypertension, Tachycardia, Delirium
  • Amnesia, Pain Relief, Muscle Relaxation (correct)
  • Loss of Eyelash Reflex, Slow Breathing, Hypersensitive Airway Reflexes

Why does autonomic sympathetic blockade during spinal anesthesia often lead to hypotension?

  • Because it reduces the patient's blood volume
  • Mainly when the block is at level T5 and above
  • As a result of decreased heart rate
  • Due to the effect on the central nervous system (correct)

What is the purpose of adding opioids to intrathecal anesthesia?

  • To provide prolonged postoperative analgesia (correct)
  • To reduce blood loss during surgery
  • To minimize the risk of hypotension
  • To speed up the onset of the blockade

Which type of anaesthesia is characterized by injecting local anaesthetic directly into the subarachnoid space?

<p>Spinal Anaesthesia (B)</p> Signup and view all the answers

Which complication is associated with epidural anesthesia but not with spinal anesthesia?

<p>Backache (C)</p> Signup and view all the answers

In which stage of general anaesthesia does a patient progress from analgesia free of amnesia to analgesia with concurrent amnesia?

<p>Stage 1 - Analgesia or Disorientation (B)</p> Signup and view all the answers

What is a key advantage of epidural anesthesia over spinal anesthesia?

<p>Prolonged analgesia through multiple doses or continuous infusion (C)</p> Signup and view all the answers

What is a potential complication of bupivacaine overdose during local anesthesia?

<p>Cardiac arrhythmia (B)</p> Signup and view all the answers

Which of the following is a potential complication of spinal anaesthesia?

<p>Hypotension (B)</p> Signup and view all the answers

How can the incidence of dural puncture headache be minimized during spinal anesthesia?

<p>Limiting the number of punctures and using fine bore pencil tip needles (A)</p> Signup and view all the answers

In which region is an epidural catheter typically placed to provide excellent analgesia for upper abdominal and thoracic surgical operations?

<p>High thoracic region (A)</p> Signup and view all the answers

Which type of anaesthesia involves autonomic sympathetic blockade?

<p>Epidural Anaesthesia (B)</p> Signup and view all the answers

What is the purpose of continuous infusion of weak local anaesthetic combined with opioids?

<p>To provide postoperative analgesia (B)</p> Signup and view all the answers

Which complication is considered the most feared in spinal anesthesia?

<p>Neurological injury (A)</p> Signup and view all the answers

What is a potential effect of opioids during anaesthesia?

<p>Bradycardia (D)</p> Signup and view all the answers

What is the primary purpose of an interscalene block in nerve blocks?

<p>Producing postoperative analgesia for shoulder surgery (A)</p> Signup and view all the answers

Which complication can arise due to an accidental intravascular injection of a local anesthetic?

<p>Cardiac arrhythmia (A)</p> Signup and view all the answers

Why should appropriately skilled personnel, resuscitation equipment, and oxygen be readily available during local anaesthetic use?

<p>Due to the potential risks of life-threatening complications associated with local anesthesia (D)</p> Signup and view all the answers

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