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Canadian Journal of Anesthesia, Vol 3, 117-121, Copyright © 1956 by Canadian Anesthesiologists' Society

Spinal Anaesthesia: A Re-evaluation

WILLIAM G. MACKERSIE M.D.1

1 Grace Northwest Branch Hospital, Detroit, Michigan, U.S.A.

Spinal anaesthesia provides complete anaesthesia, maximum relaxation, and a minimum disturbance of metabolism. There is still much disagreement as to its rightful place in our practice; the possibility of neurological complications has been the greatest deterrent to its use.

Spinal anaesthesia requires strict adherence to proper technique. Such technique may be summarized as f ollows:

1. Choose the patient intelligently.

2. Asepsis is mandatory.

3. Avoid traumatizing the patient.

4. Use needles which will cause the least injury to the dura.

5. Keep the patient well hydrated and comfortable.

Experience with 1,255 consecutive cases of spinal anaesthesia is reported.

Note:

Presented at a Meeting of the Ontario Division, Canadian Anaesthetists' Society, Windsor, Ontario, October 22, 1955.






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Copyright © 1956 by the Canadian Anesthesiologists' Society.