Spinal vs. epidural

Posted , 9 users are following.

I am wondering what the difference is between the spinal block and the epidural, and why one is preferable over the other?

I have pretty much ruled out GA, but of course, that is prior to any sort of discussion with the anaesthetist.  Finding it all rather confusing, as I have memories of some form of sedation from my surgery in San Francisco back in the mid 80s, when I had days of recovery.  I think it may have been valium, intravaneously.

2 likes, 19 replies

19 Replies

Next
  • Posted

    Hi Susie, I was given both for my thr, along with sedation, earphones and music. I remember drifting in and out, no pain, no noise and giving the anaesthetist the occasional thumbs up!👍
    • Posted

      Hi Dawn:

      Not sure what you mean.  What actually were you given, was it epidural with sedation or spinal with sedation, or something else?  Graham has referred me to his site, so I shall take a look at what he says.  Right now, I am looking at the options, but it really boils down to what the anaesthetist recommends for me, as I understand it.

      Many thanks for your input.

    • Posted

      Sorry for the confusion. I was given both an epidural and spinal block along with sedation. This was all discussed and decided with my anaesthetist on the morning of the op.
  • Posted

    Look at the useful info, or my website.

    Spinal is a 'one shot' deal.  

    Epidural can be topped up during the operation.

    So if it is likely to last longer because of complications, the anaethetist will probably go for Epidural or General.

    Graham

    • Posted

      OK.  Many thanks.  It looks rather like a spinal will be the best option, but there is always room for the unknown....
  • Posted

    A spinal is a specific amount of numbing solution, given to you with one shot into your spinal fluid. Then needle removed. This is best for surgeries where you know the time. ( ex: Prostate biopsy ) The epidural is a drip, you have a smaller needle introduced into your spinal fluid and left there with tape. The anesthesiologist can control how much you need if it's a possible long surgery, it's standard for women giving birth. Depending on where they locate it, it can numb only certain parts of your body. One place for your chest, one place for your hip, depending on the nerves that need to be numbed. I LOVED my GA, it's like you get "happy juice" to calm you in pre-op and next thing you wake up and it's all over. Like magic. I'd never want a needle inserted into my spinal fluid. Intravenous valium is only to sedate you - I can't imagine that being given as anesthesia. There is a "twilight sleep" where you are awake, you just don't remember it. I've had that too, only once. All GA with 2 bunionectomies, bone spur removal w arthritic tissue around large toe on R foot, "elective nose job" and my hip surgery. My neck lift was when I had the twilight sleep. Easier for the surgeon, who can do this in the office, no large fee for aneshesia, ( though my bill was only $60 after insurance paid ) I think with GA you are far less fearful, you don't have to listen to the Black and Decker saw that cuts off your femur head, or the pop when they pull your leg loose from the cup, hammering in of the implant. I'd die of anxiety and fear. GA is safe, and I've worked in an OR for 11 years and never heard of anyone dying under anesthesia, which might have been true decades ago. My poor mother was given "ether: when she delivered her 3 children. That was the state of anesthesia 50 years ago. Things are so much better and easier for the patient. Yes, please discuss your concerns with the Anesthesia team. and Good Luck, Fast Healing and Little Pain!!
    • Posted

      Many thanks for the excellent, in depth information and feedback.  I will probably pt for a spinal with a degre of sedation, as I don't like being still for extended periods, particularly as I will be immobilised,anyway!  My daughter was born in 1962, UK, and I do remember a lot of discomfort during labour, they had to put me out a couple of times, as the labour was so long, Friday midnight until Sunday delivery at at 10:30 pm.  Finally gave me an epidural or similar, just prior to delivery, and I was cut.  She had a head like a football, so no wonder!
    • Posted

      Thanks for that - so good to get the low-down from a medical profesional who knows about the different procedures.

      Graham

  • Posted

    The difference as explained to me is you don't have all that anesthesia in your body if you do a spinal....you don't suffer the after effects....I had a spinal....it was just really weird to not feel your legs for a time afterword! 
    • Posted

      YES! Oh, the itching!! It finally went away thank goodness....it would happen at one or two in the morning!!! Now I just have this dent in the middle of my scar....
    • Posted

      I have a dent too - at 4 weeks since my 'Groundhog Day' second operation.  I am massing it with acqueous cream as supplied by my wife - I would not dare to not use it twisted

       

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.