Spinal anesthesia beginner

If you hit a bone, it should be that your epidural needle was misaligned when the needle was inserted. Spinal anesthesia is not like an epidural anesthesia. The epidural needle insertion may not be very straight. You can adjust it at any time until the resistance disappears. Spinal anesthesia is hard. If the epithelium needle is deviated, it is easy to touch the bone. Another point is that epidural puncture cannot be measured according to the number of needles inserted, which is easy to cause accidents, because people are different, it depends on the feel, the needle should be inserted slowly, and the resistance should be tested while the needle is inserted. It is especially important for beginners. Another point is that the needle should be inserted from the lower edge of the upper spinous process for low-level epidural puncture, and the needle should be inserted from the upper edge of the next spinous process for high-level puncture, especially above T10, because high-level puncture often The magnitude of the cut is relatively large, and you can understand the reasoning by reading the anatomy book and thinking about it.

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