ADVANCES IN SPINAL ANESTHESIA

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Abstract
The recent advances in spinal anesthesia; namely, (1) the principle of continuous spinal anesthesia, with an improved method of administration; (2) the addition of a more compatible supplement such as sodium pentothal; (3) more careful selection of cases for the procedure have greatly increased the benefits of this method for both the patient and the surgeon; (4) uniform results obtained with both long and short acting anesthetic agents in properly selected cases; and (5) partial withdrawal of unused and unfixed spinal anesthetics after operation permits more rapid return of physiologic nerve function. The incidence of success for this method varies directly with the skill and experience of the anesthetist. There must be recognized that a permanent hazard exists in the administration of this type of anesthesia. For our type of service, the advantages far outweigh the disadvantages, with the result that spinal anesthesia has become our most reliable method of surgical pain relief.

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