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Spinal anaesthesia for manual removal of placenta
The volume of fluid given will vary with the age of the patient and the extent of the proposed block. A young, fit man having a hernia repair may only need 500 mls.
manual de css3 pdf />The arachnoid mater is a delicate membrane lining the dural sheath and sends prolongations along each nerve root. It is continuous with the cerebral arachnoid mater. The pia mater is the innermost membrane surrounding the brain and spinal cord.
Cardiovascular effects Hypotension occurs secondary to vasodilatation and blockade of cardiac sympathetic fibres to the heart (causing bradycardia due to unopposed parasympathetic activity and baroreceptor blockade). The degree of hypotension is dependent on the number of spinal segments that are blocked (the height of the.
The cerebrospinal fluid (CSF) is an ultrafiltrate of plasma that fills the ventricles of the brain and fills the subarachnoid space. It is formed in the choroid plexus and around blood vessels and along the ventricular walls.
There are three classes of nerve motor, sensory and autonomic. Stimulation of the motor nerves causes muscles to contract and when they are blocked, muscle paralysis results. Sensory nerves transmit sensations such as touch and pain to the spinal cord and from there to the.