Choice of Anaesthesia: Loss of sensation below the level of lesion following a spinal cord injury means that these patients could theoretically undergo surgery without anaesthesia and without feeling pain from the operative site , as they often do. However, the decision as to whether anaesthesia is required for a procedure depends on the surgery, the level spinal cord lesion, the completeness of the lesion and very importantly, patients preference . Patients who experience muscle spasms are often triggered by proprioceptive and cuteneous stimuli.
An anaesthesiologists should be present, venous access secured and standard monitoring used throughout the procedure for all operations on cord injury patients, regardless of anaesthetic technique. Premedication and IV access: Patients with spinal cord injuries have typically undergone multiple surgeries and procedures since their original…
