Vol. 5, Issue 2, Part A (2023)

In the last few decades, there has been a resurgence of interest in using regional anaesthetic methods for a wide variety of routine surgical procedures. The hyperbaric solution of bupivacaine is used frequently for practically all types of surgery by the great majority of anesthesiologists across the world. But they fail to see the additional benefits of spinal anaesthesia. This method is best suited for specific types of patients. This article demonstrates the relationship between spinal anaesthesia and sensory and motor blocking using hyperbaric and isobaric solutions. The feasibility of administering spinal anaesthesia to just one side of the body is discussed. Using posterior spinal anaesthesia demonstrates that only sensitive spinal anaesthesia may be administered, without motor block.
The scope of surgery that can benefit from isobaric and hypobaric solutions has expanded greatly. Recent years have seen an increase in the usage of thoracic continuous spinal anaesthesia, as it was demonstrated to be effective and safe for a variety of surgical procedures. Spinal anaesthesia for laparoscopic surgery, including thoracic spinal anaesthesia, segmental spinal anaesthesia, and continuous procedures, are all demonstrated in this article.