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High Neuraxial Block (Total Spinal)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

BradycardiaHypotensionAvoid HypotensionReduced Cardiac OutputArrhythmiasAvoid HypovolemiaDyspneaAvoid HypoventilationAvoid HypoxiaAspirationFull StomachDifficult AirwayVideo LaryngoscopeAortocaval CompressionPostoperative Apnea

Pathophysiology

A high neuraxial block is excessive cephalad spread of local anesthetic in the subarachnoid or epidural space. In obstetrics the usual mechanism is an epidural dose landing intrathecally — an...

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