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Spinal anesthesia for outpatients: appropriate agents and techniques

M F Mulroy1, R P Wills

  • 1Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA 98111, USA.

Journal of Clinical Anesthesia
|November 1, 1995
PubMed
Summary

Spinal anesthesia is effective for outpatient surgery, offering quick recovery and fewer side effects. Using specific needles and patient selection minimizes complications like headaches, enabling faster patient discharge.

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Area of Science:

  • Anesthesiology
  • Outpatient Surgery

Background:

  • Spinal anesthesia is a common regional anesthesia technique.
  • Outpatient surgery requires anesthesia with rapid recovery and minimal side effects.

Purpose of the Study:

  • To evaluate the advantages of spinal anesthesia in the outpatient setting.
  • To identify factors influencing successful outpatient spinal anesthesia.

Main Methods:

  • Selection of appropriate anesthetic drugs and techniques.
  • Utilizing small, rounded bevel needles for spinal anesthesia.
  • Primarily applying the technique in patients over 40 years old.

Main Results:

  • Spinal anesthesia demonstrates rapid onset, high reliability, and technical ease.

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  • Lower incidence of postoperative nausea and vomiting facilitates quick patient turnover and discharge.
  • Headache incidence is not a limiting factor with appropriate needle selection and patient age.

    • Conclusions:

    • Spinal anesthesia offers significant advantages for outpatient procedures.
    • Careful drug, technique, and needle selection optimize outcomes.
    • Patient selection, particularly age over 40, further enhances safety and efficacy.