Spinal anaesthesia
Spinal anaesthesia (or spinal anesthesia), also called spinal block, subarachnoid block (SAB), intradural block and intrathecal block, Is a form of regional anaesthesia involving injection of a local anaesthetic into the subarachnoid space, generally through a fine needle, usually 9 cm long (3.5 inches). For extremely obese patients longer needles are available (12.7 cm / 5 inches). The tip of the spinal needle has a point or small bevel. Recently, pencil point needles have been made available (Whitacre, Sprotte, Gertie Marx & others).
Medical uses
Spinal anaesthesia is a commonly used anaesthetic technique, both alone and in combination with either sedation or general anaesthesia. Examples of uses include :-
Orthopaedic surgery on the pelvis, femur, tibia and the ankle
Hip replacement
Knee replacement
Hip fracture surgery
Spinal opioids e.g. Diamorphine 500-1000mcg along with general anaesthesia for post operative analgesia in laparoscopic bowel surgery
Lower limb vascular surgery