SPINAL ANESTHESIA FAILURE - Crash course with Dr. Hadzic

Let’s be honest about this: Failed spinal anesthesia is no fun and it can be embarrassing if it happens often. All anesthesia professionals are trained in spinal anesthesia, so it is supposed to be a no-brainer. However, despite the theoretical simplicity, failure of spinal anesthesia is not uncommon and can occur as often as 17% (older reports, Levy, 1985). This high failure rate would be inconsistent in the modern practice of regional anesthesia. Of course, with modern techniques and equipment for spinal anesthesia, the failure rate is much lower. And your skills do matter a great deal, even in the best of hands, the spinal anesthesia will ultimately fail to provide complete anesthesia for surgery in 3.2% of cases. In anticipation of the failure, the greater number of puncture attempts and not using adjuvant medication with local anesthetic (e.g. opioids) are independent factors associated with the risk of failure (Fuzier, 2011). Interesting, less-known fact: spinal anesthesia failure is less common in elderly patients. In this video, Dr. Hadzic discusses the most common causes of failure of spinal anesthesia and methods to prevent them. Make sure you watch and share your strategies for preventing spinal anesthesia failures.

Read all about Failed Spinal anesthesia on new NYSORA’s Compendium of Regional Anesthesia at www.nysoralms.com.

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