What Is a Spinal Anesthetic?

A surgical treatment that can relieve the compression of the spinal cord and restore the stability of the spine

Spinal surgery

This entry lacks an information bar and an overview map . Supplementing related content makes the entry more complete and can be upgraded quickly. Come on!

A surgical treatment that can relieve the compression of the spinal cord and restore the stability of the spine

Spinal surgery

1. The skin of the entire back was washed and shaved 1 d before the operation. The hair on the back of the neck and occipital region should be shaved after the upper chest and neck surgery.

2. Matching 400-600ml.

3 Fasting 6-8h before surgery and 4h of drinking.

4 The enema was performed on the night before the operation, and the catheter was placed before the operation.

5. Medication before anesthesia.

1. The patient took a prone or prone position. High cervical spinal surgery can also take a sitting position.

2. According to the lesion segment determined by angiography or MRI, the incision line is drawn with nail purple, disinfected, and singled. Generally, a midline incision is taken, and the articular process should not be damaged when the lamina is removed during operation, so as not to affect the stability of the spine.

3 Before cutting the dura mater, first cover the wound surface with a saline cotton sheet to prevent blood from penetrating into the subarachnoid space, and then sew a thread on both sides of the midline of the dura mater and pull it away to avoid cutting the arachnoid damage at the same time. Spinal cord; retracting the dura mater to the sides for easy observation and management of lesions.

4 When the spinal cord and nerve roots are bleeding, saline cotton pads, gelatin sponges or hemostatic biogels can be used to stop bleeding, and if necessary, bipolar electrocoagulation is used to stop bleeding.

5. The operation near the spinal cord must be gentle. When exploring the front of the spinal cord, the dentate ligament should be cut first, and then the spinal cord should be gently rotated with mosquito forceps. Tumors in front of the spinal cord should be resected first and then the sac wall. Spinal cord disease changes require careful operation and should be performed under a surgical microscope. CUSA (Ultrasonic Oscillation) and lasers can be used as auxiliary methods.

6. Those who underwent spinal angiography before surgery should try to expel iodophenyl lipid.

7. The spinal dura mater is sutured continuously or intermittently with silk threads. When no suture is used for decompression purposes, it can be covered with meningeal substitutes such as special amniotic membrane or fibrin membrane or artificial dura mater to reduce adhesion, and finally the muscles and skin are closely sutured. Epidural indwelling closed drainage for 24-48 hours.

1. Postoperatively lying on a wooden bed.

2. Recumbent 2-3h and then change to a lying position.

3 Residual urethral catheter, urinate every 4-6h. If the catheter was left for more than 3 days, the bladder was flushed with 250 ml of furancillin solution 1: 5000, 2 / d.

4 Give antibiotics to prevent infection.

5. Nursing of limb dysfunction is the same as paraplegia.

6. After high cervical spinal surgery, the axis should be used to turn over and turn. If you have breathing problems, use a ventilator to assist breathing.