NSG 539 NEURAXIAL ANESTHESIA 1 | SPINAL & EPIDURAL
TECHNIQUES, INDICATIONS & COMPLICATIONS | EXAM PREP
2026/2027
1. Spinal anesthesia is good for what cases?: abdominal, pelvic, and lower
extremity
2. Spinal anesthesia depth: surgical
3. Practitioner considerations for neuraxial anesthesia: •1. Will the patient be
comfortable
having this surgical procedure performed with the proposed regional anesthetic
technique?
•2. Will the patient be able to remain in the required position without difficulty for
the length of the procedure?
•3. Does this regional anesthetic technique outweigh the risks of performing this
procedure using an alternate
anesthetic technique?
4. Spinal anesthesia is injected in which region: lumbar region, below termination
of the spinal
cord
5. Difference between spinal and epidural doses of LAs: Epidurals require larger
doses/volume (15-20mL) than spinals (2mLs)
6. Difference between spinal and epidural dosing frequency: Spinals are usually
one
injection, epidurals can be redosed to last longer
7. Epidurals can be performed in which regions: lumbar, thoracic, and cervical
8. Onset of spinal vs epidural blocks: spinals: 5-7mins
epidurals: up to 20mins
, 9. The caudal canal is the lower extension of the: epidural space
10. Caudal anesthesia and analgesia are useful for: pediatric surgeries
11. Caudal dose for a T10 sensory block: 1mL/kg
(must convert to kg)
12. Caudal block contraindications: Spina bifida
meningomyelocele of sacrum
Meningitis
13. Spinal epidural combined used for: -Rapid onset of dense anesthesia (spinal)
and flexibility/longevity of an epidural
-Used in OB
14. Contraindications to neuraxial anesthesia: **patient refusal
**lack of cooperations
-Shock/uncorrected hypovolemia
-Coagulopathy
-Hemodynamic instability
-Infection at site of injection
15. Patient conditions of neuraxial concerns: -Increased ICP
-significant preexisting or therapeutic coagulopathy
-Skin infection @ site of injection
-Hypovolemia
-Spinal cord diseae
-Patients with fixed-volume cardiac state (hypertrophic cardiomyopathy, severe
aortic stenosis)
TECHNIQUES, INDICATIONS & COMPLICATIONS | EXAM PREP
2026/2027
1. Spinal anesthesia is good for what cases?: abdominal, pelvic, and lower
extremity
2. Spinal anesthesia depth: surgical
3. Practitioner considerations for neuraxial anesthesia: •1. Will the patient be
comfortable
having this surgical procedure performed with the proposed regional anesthetic
technique?
•2. Will the patient be able to remain in the required position without difficulty for
the length of the procedure?
•3. Does this regional anesthetic technique outweigh the risks of performing this
procedure using an alternate
anesthetic technique?
4. Spinal anesthesia is injected in which region: lumbar region, below termination
of the spinal
cord
5. Difference between spinal and epidural doses of LAs: Epidurals require larger
doses/volume (15-20mL) than spinals (2mLs)
6. Difference between spinal and epidural dosing frequency: Spinals are usually
one
injection, epidurals can be redosed to last longer
7. Epidurals can be performed in which regions: lumbar, thoracic, and cervical
8. Onset of spinal vs epidural blocks: spinals: 5-7mins
epidurals: up to 20mins
, 9. The caudal canal is the lower extension of the: epidural space
10. Caudal anesthesia and analgesia are useful for: pediatric surgeries
11. Caudal dose for a T10 sensory block: 1mL/kg
(must convert to kg)
12. Caudal block contraindications: Spina bifida
meningomyelocele of sacrum
Meningitis
13. Spinal epidural combined used for: -Rapid onset of dense anesthesia (spinal)
and flexibility/longevity of an epidural
-Used in OB
14. Contraindications to neuraxial anesthesia: **patient refusal
**lack of cooperations
-Shock/uncorrected hypovolemia
-Coagulopathy
-Hemodynamic instability
-Infection at site of injection
15. Patient conditions of neuraxial concerns: -Increased ICP
-significant preexisting or therapeutic coagulopathy
-Skin infection @ site of injection
-Hypovolemia
-Spinal cord diseae
-Patients with fixed-volume cardiac state (hypertrophic cardiomyopathy, severe
aortic stenosis)
