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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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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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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Stages of General Anesthesia01:22

Stages of General Anesthesia

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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Data Reporting and Recording01:24

Data Reporting and Recording

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Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-off Report

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
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Related Experiment Video

Updated: Jan 31, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Cauda equina syndrome after spinal anesthesia: A case report.

Kwang Uk Jang1, Jung Sam Lee1

  • 1Department of Anesthesiology and Pain Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. nonpain@paran.com.

Korean Journal of Anesthesiology
|January 11, 2019
PubMed
Summary

A patient developed cauda equina syndrome after spinal anesthesia. Potential causes include pre-existing spinal conditions, reduced blood flow from epinephrine, and tetracaine neurotoxicity.

Keywords:
Cauda equina syndromeEpinephrineSpinal anesthesia

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Area of Science:

  • Anesthesiology
  • Neurology
  • Orthopedic Surgery

Background:

  • Pyogenic arthritis can necessitate surgical intervention.
  • Spinal anesthesia is a common anesthetic technique.
  • Cauda equina syndrome presents with neurological deficits.

Purpose of the Study:

  • To report a rare case of cauda equina syndrome following spinal anesthesia.
  • To investigate potential causative factors in this specific patient presentation.

Main Methods:

  • Case report of a 72-year-old male patient.
  • Spinal anesthesia administered using hyperbaric tetracaine with epinephrine.
  • Diagnostic workup included magnetic resonance imaging (MRI).

Main Results:

  • The patient developed symptoms of cauda equina syndrome post-anesthesia.
  • MRI revealed spondylolisthesis, disc protrusion, and spinal stenosis.
  • No evidence of hematoma or abscess was found on MRI.

Conclusions:

  • The cauda equina syndrome was likely multifactorial.
  • Contributing factors may include pre-existing spinal stenosis and neural compression.
  • Spinal cord ischemia secondary to epinephrine and potential tetracaine neurotoxicity are considered.