Anaes Vivas · Neuraxial anaesthesia
Spinal anaesthesia — clinical procedure viva
A clinical viva on performing a spinal anaesthetic: consent and contraindication checks, the technique and CSF confirmation, the control of block height, the proactive management of sympathetic-block hypotension, and the complications and their prevention.
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Prompt
A fit 60-year-old man is listed for an elective total knee replacement. He wishes to avoid a general anaesthetic. Take me through how you would perform a spinal anaesthetic for him, how you would manage his haemodynamics, and the complications you would discuss.
Stimulus
A fit 60-year-old man is listed for an elective total knee replacement. He wishes to avoid a general anaesthetic. Take me through how you would perform a spinal anaesthetic for him, how you would manage his haemodynamics, and the complications you would discuss[4][1].
References4ShowHide
- [1]Sserunkuuma B, Olowo S, Tibaijuka L, et al. Prevalence, factors associated, and adverse maternal outcomes of spinal induced hypotension among mothers undergoing caesarean section at a tertiary hospital South-Western Uganda. BMC Anesthesiol, 2026.PMID 42363034
- [2]Chen W, Du C, Wang Y, et al. Norepinephrine versus colloid for preventing spinal anesthesia-induced hypotension and its impact on intracranial pressure in preeclamptic parturients: a randomized double-blind controlled trial. BMC Pregnancy Childbirth, 2026.PMID 42324510
- [3]Sierra S, Kohan LR, Tiouririne M, Singla P Beyond Post-Dural Puncture Headache: Differential Diagnosis and Complications Following Labor Epidural Analgesia. Pain Med, 2026.PMID 42308533
- [4]Wan JX, Zeng SS, Li JM, et al. Comparing the efficacy and safety of unilateral versus bilateral spinal anesthesia: a meta-analysis and systematic review. Ann Med, 2026.PMID 42314657