WOMENS-HEALTH Messages for February, 1999: Re: spinal anesthesia

Re: spinal anesthesia

From: anonymous@obgyn.net
Thu, 18 Feb 1999 22:17:06 EST

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Maybe in reply to: Kelley: "spinal anesthesia"

In a message dated 2/18/99 8:08:36 PM Eastern Standard Time, keldal@hotmail.com writes:

<< I have a question regarding spinal anesthesia. If a patient feels the very first incision of surgery, should something be done to further anesthetize the body? This is in regard to a cesarean section. ******* Kelly - from your description I am not sure if you had a good spinal. It sounds you had anesthesia because you felt "only the pressure of the incision."

<< Twenty minutes BEFORE surgery was finished, there was no anesthesia above the umbilicus. Should something have been done from the beginning?

******** I don't know the circumstances of the C-section. One must consider the infant when anesthesia is concerned. It was always my habit, If the lady complained of 'feeling the knife, to use some local [Novocain] into the wound then get the cord clamped. After that the anesthesiologist could put her to sleep until I finished the surgery.

<< There was no SHARP pain with the first incision, only the pressure of the knife and the opening of the incision. Is it normal to go on with surgery if the patient has feeling from the beginning?

**** This sounds like you had anesthesia. Did the doctor ask if 'this is sharp?"

****The patient can feel movement and pressure. The spinal numbness is usually up to the belly button. Because of the nerve supply to the uterus higher (more dangerous) levels are not needed.

***** I would, if I were you, discuss this with your OB and/or the anesthetist. When and if you again need a C-section you should fully understand what you will feel and not feel.

============================================= *Note: Opinions expressed here are for educational purposes only. This information is not intended to supplant the need for you to consult your physician prior to choosing or planning therapeutic options and/or interventions. *It is impossible to make a diagnosis or recommend specific treatment without a face to face medical history and physical examination.

**Private emails cannot be answered.

**Agape, DR L. ,MD [a.k.a. DR. George]

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Maybe in reply to: Kelley: "spinal anesthesia"

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