Prolonged surgeries in high-risk patients like the renal failure, Hepatic failure etc, Respiratory failure etc   Necessitating  General Anaesthesia ---- with so many drugs. Spinal Anaesthesia Can be used as an adjuvant to general anesthesia in this scenarios. SpinalAnaesthesia  with  Bupivacaine + Opioids/ Dexmedetomidine/ Clonidine  etc ..... Followed by General Anaesthesia, helps in  reducing 1) Doses of Muscle Relaxants. 2) Reduces doses of relief of Analgesics   3) Reduces Bleeding by giving hypotensive Anaesthesia  4) Good bright smooth recovery from Anaesthesia.

5) Post Operative pain relief of very good quality. Even for routine surgeries taking prolonged time -- This technique can be used safely  and very effectively. Share your views.