Other than the spinal kit, what equipment must be immediately
available while performing spinal anesthesia?
Spinal anesthesia, like other types of
anesthesia, is associated with significant physiologic trespass. Potential
exists for significant cardiovascular and respiratory side-effects, including
cardiopulmonary arrest. Resuscitative equip-ment and drugs must be readily
available during spinal anesthesia. Electrocardiographic (ECG) monitoring,
blood pressure, pulse oximetry, and intravenous fluid loading should precede
the subarachnoid block. A means of administering 100% oxygen under positive
pressure is essential, and vasopressors must be handy. Laryngoscopes,
endotracheal tubes, and rapid-acting muscle relaxants are frequently useful.
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