Abstract

Unilateral spinal anaesthesia aims to limit the distribution of spinal block only to the operated side, for all operations involving only one lower limb. Small doses of local anesthetic, pencil-point needles, injection speed, lateral decubitus position and not isobaric anesthetic solution are the main factors involved when attempting a unilateral spinal block. In comparison to conventional technique it requires a bit longer preparation time, but provides less hemodynamic side effects with higher cardiovascular stability, increased autonomy after surgery and better patient acceptance.

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