Complete 6 page APA formatted essay: Anaesthetic nursing.
A litre bag of Hartman was also started. The spinal anaesthesia was performed in the sitting position at L4/L5 with 2.4mls of bupivacaine 0.5% in hyperbaric dextrose solution of “Heavy Marcaine”. Immediately following the spinal block, the patient was put back in the supine position, and the operating table altered with left lateral tilt to diminish aorto-caval compression. About 3 minutes later the patient’s blood pressure fell to 103/56mmhg which was the first sign of the effect of spinal anaesthesia. As the medical team was waiting for the spinal to take full effect, the blood pressure further dropped to 86/51mmHg. The patient also complained of nausea and “not feeling well” and experienced progressive difficulty to breathe. The features that need to be considered are the increasing hypotension that she has suffered, the progressive difficulty in breathing and the nauseous feeling with general unease.
sophisticated equipment along with the advantage of developed techniques. Operations are being performed on an ambulatory basis with advanced technologies to meet the demands of a busy environment (Tarkkila 2007). Providing anaesthesia without complications ensures a high degree of satisfaction. However the potential risk is a failure of spinal anaethesia due to incorrect needle placement unlike the other anaesthetic methods where the risk of failure is low. Haemodynamic complications are also possible. Hypotension is one such event which occurs due to the cardiovascular side effects (Tarkkila 1991). The hypotension is a normal physiological effect but it can turn into a complication if the level falls low enough to cause problems. The blood pressure at which interventions are necessary to correct the hypotension has not been decided yet. Clinical judgement by the anaesthesiologist is the method to decide the point to intervene (Tarkkila 2007).
Spinal anaesthesia produces a fast, effective and high quality sensory and motor block of the