Spinal anesthesia: for or against?

Today, any surgical intervention is performed under anesthesia, which greatly facilitates any operation. Spinal anesthesia is a relatively young concept in modern medicine, but it is already widespread and positions itself as one of the most effective and affordable methods of anesthetic management in the field of surgery.

So, spinal anesthesia is a procedure in which the space inside the spinal canal is filled with a solution of local anesthetic, and it is necessary to perform a deep puncture of the dense membrane surrounding the spinal cord. With such manipulations, pain nerves in the required areas are “turned off” for a certain time, and for this an anesthetic is injected on a characteristic area of ​​the spine near these nerves, and this procedure is practically painless and does not cause discomfort.

However, as something new and not fully understood, spinal anesthesia has its supporter and ardent opponents, and this is not surprising, because such an anesthesia method has both its tangible disadvantages and significant advantages. We start, of course, with the good.

First of all, it should be clarified that this procedure does not in any way injure the spinal cord, since the injection is performed slightly below it, excluding the possibility of injury. In addition, its performance is pleasing, because already 7 minutes after the solution is emitted, a temporary blockage of nerve fibers occurs . This is especially true for pregnant women who undergo spinal anesthesia for cesarean section, because after the dose is administered, the patient feels warmth, as well as complete relaxation of the muscles of the lower extremities and no pain even during contractions. Also, after this procedure, intoxication of the body does not occur, therefore it can be confidently stated that spinal anesthesia practically does not cause complications. Simply put, the procedure is acceptable in that the reaction of the body is observed with a moderate dose of anesthetic, and the consequences after it are quite favorable for weakened immunity. However, not everything is so rosy, since this method of anesthesia has its drawbacks, which should also not be missed.

As medical practice shows, when performing spinal anesthesia, pathological complications are rarely observed, but it all depends on each clinical case, since each patient has the characteristics of his body, which can unexpectedly play a negative role. It all depends on the specifics of the indications, among them the severity and nature of the disease, as well as existing diseases, the patient's age, his general condition and the presence of bad habits are distinguished. There should be a well-performed spinal anesthesia, the consequences of which can also be caused by measures in anesthesiology, such as the insertion of a catheter into a central vein, blood transfusion, and further productive treatment. But do not panic, as experienced medical staff knows their job and will make every effort to successfully conduct such an event.

But still, extremely undesirable reactions of the body to the introduction of a foreign substance are periodically observed. This can be a severe headache, which occurs due to an increase in patient immobility. Such a phenomenon in most cases takes place during the day on its own, or by force with the help of special medications. Also an undesirable effect is a sharp decrease in pressure, which is eliminated by heavy drinking or intravenous solution. In rare cases, the patient may complain of delayed urination, but this nuance often does not require any treatment, like back pain on the first postoperative day. Sometimes such pain can be “put out” by a tablet of paracetamol or diclofenac. Neurological disorders are extremely rare, but they also disappear after the first day.

It is important to remember that all the smallest nuances should be negotiated with a specialist in advance and in advance.


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