



Risks of Spinal Anesthesia
Advantages of Spinal Anesthesia
Spinal anesthesia is achieved by injecting a solution of anesthetic
into the spinal fluid, causing numbness and usually muscular weakness in
the lower part of the body. In most instances the medication used is in
the local anesthetic family of drugs,
but sometimes other medications such as narcotics are included as well.
Newer drugs are being investigated, but at this time the above-mentioned
agents are the predominant ones in use.
Spinal anesthesia finds many applications in today's operating rooms. It is often
chosen for operations involving the lower abdomen, legs, and feet, C-Sections
in obstetrics, and for prostate surgery. The procedure of administering
spinal anesthesia (also known as subarachnoid block) involves the insertion
of a needle in between the bones of the spine and into the spinal fluid.
This is usually preceded by the injection of a local anesthetic to numb
the area where the spinal will be inserted. The injection of the local
normally stings as it is injected, but most people do not have significant
discomfort during the insertion of the spinal needle itself. Once the correct
location of the needle has been determined, a small dose of medication
is administered into the spinal fluid. This medication blocks the transmission
of impulses along the nervous pathways, preventing messages of pain from
ever reaching the brain and also preventing the brain's movement commands
from ever reaching the muscles in the affected body parts. Spinal anesthesia
thus results in numbness and immobility in the targeted area of the body,
which provides your surgeon with good operating conditions.

In certain cases, spinal anesthesia can have several advantages over general
anesthesia. It is the preferred choice for transurethral resection of the
prostate, or "TURP," because it allows the patient to be awake enough to
report certain symptoms that can give early warning of surgical complications
such as fluid overload or bladder perforation. It is frequently employed
in older patients that have orthopedic procedures such as surgery to repair
a fractured hip because patients in this age bracket more frequently have
co-existing medical conditions such as emphysema and heart disease. In
addition, other patients may benefit from the use of spinal anesthesia
because of it carries less risk of pulmonary reactions or postoperative
nausea and vomiting.