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Contraindications

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Spinal anaesthesia should not be attempted in the following situations:

  • skin infection over the likely site of spinal needle insertion
  • pre-existing bleeding diathesis or anticoagulation: haemorrhage may put pressure on the cord
  • skeletal deformity or ossification of spine
  • cardiovascular compromise:
    • shock or hypovolaemia - decreases blood pressure further
    • states of fixed cardiac output, e.g. aortic stenosis - patient is unable to adapt to stresses of hypotension
  • neurological conditions - deterioration postoperatively may be blamed on the anaesthesia

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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