RPS SURGICAL AND PHARMA
Spinal Anesthesia
Injection of local anesthetic into cerebrospinal fluid (CSF)
Commonly used for:
Lower limb surgeries
Lower abdominal surgeries
Obstetric procedures (e.g., cesarean section)
Diagnostic Lumbar Puncture
Collection of CSF to diagnose:
Meningitis
Subarachnoid hemorrhage
Multiple sclerosis
Other neurological disorders
Intrathecal Drug Administration
Delivery of medications directly into CSF, such as:
Chemotherapy
Antibiotics
Opioids for pain control
Measurement of CSF Pressure
Helps assess conditions like intracranial hypertension
Length: Usually 8–9 cm (longer for obese patients)
Gauge: Common sizes are 22G, 23G, 25G, 26G, and 27G
Higher gauge = thinner needle
Material: Stainless steel
Components:
Hub: Connects to syringe
Shaft: Long, thin, hollow tube
Stylet: Solid inner wire that prevents tissue coring
Tip: Specially designed to minimize trauma
Cutting Tip
Example: Quincke needle
Sharp bevel that cuts through tissue
Higher risk of post-dural puncture headache
Pencil-Point (Non-cutting) Tip
Examples: Whitacre, Sprotte
Separates rather than cuts dural fibers
Lower risk of headache (preferred)
Precise drug delivery
Rapid onset of anesthesia
Smaller doses required
Reduced systemic side effects
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