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Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

Updated: Mar 30, 2026

In Vivo Mouse Model of Spinal Implant Infection

In Vivo Mouse Model of Spinal Implant Infection

Published on: June 23, 2020

Surgical Site Infections in Spinal Surgery.

Barrett S Boody¹, Tyler J Jenkins, Sohaib Z Hashmi

¹Department of Orthopaedic Surgery, Northwestern Memorial Hospital, Chicago, IL.

Journal of Spinal Disorders & Techniques

|November 14, 2015

Summary

This summary is machine-generated.

Surgical site infections (SSIs) are serious complications after spine surgery. This review covers the latest evaluation and management strategies for these infections to improve patient outcomes.

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Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Area of Science:

Orthopedics
Infectious Disease
Neurosurgery

Background:

Surgical site infections (SSIs) are a significant complication following spine surgery.
SSIs can occur within 30 days of surgery or up to 12 months after spinal instrumentation.
Infections are classified by tissue depth: superficial, deep incisional, or organ/space.

Purpose of the Study:

To review current modalities for evaluating and managing spinal SSIs.
To discuss controversies in the diagnosis and treatment of SSIs in spine surgery.
To inform spine surgeons about advancements in SSI care.

Main Methods:

Literature review of recent studies on spinal SSIs.
Analysis of diagnostic criteria and classification systems for SSIs.
Examination of current and emerging treatment strategies.

Main Results:

SSIs increase healthcare costs and patient morbidity.
Improved diagnostic and management techniques are available.
Ongoing research continues to refine SSI care.

Conclusions:

Spine surgeons need to stay updated on SSI evaluation and management.
Addressing SSIs is crucial for reducing postoperative complications.
Further research is needed to resolve management controversies.