Obstetric Anesthesia Core Knowledge Modules-Spinal Placement

Video Transcription

Video Summary

The speaker demonstrates how to perform a subarachnoid (spinal) block, emphasizing patient communication, sterile technique, and careful landmarking. After informed consent and a timeout with the patient and OB nurse, the provider identifies the L4 and L3-4 spaces by palpation, preps with Chloraprep, and sets up the tray on a table to avoid contamination. They use sterile draping, draw up spinal local anesthetic first, then lidocaine for skin, and place the Whitaker spinal needle through an introducer. After obtaining CSF, they inject the full dose slowly, remove the needle, wipe off antiseptic, reposition the patient, and proceed with surgery.

Keywords

subarachnoid block

spinal anesthesia

sterile technique

landmarking

cerebrospinal fluid