Contradiction of spinal anesthesia in pregnant females

  1. Hey all,

    When is a spinal anesthetic contraindicated in a pregnant female?
    1) Pt refusal
    2) With any kind of coagulation issues
    3) WHAT ELSE?

    Thanks for your input.
  2. Visit krzysiu profile page

    About krzysiu

    Joined: Jun '06; Posts: 181; Likes: 36
    RN - SRNA; from PO
    Specialty: 4 year(s) of experience in SRNA class of 2010


  3. by   APNgonnabe
    I strongly encourage you to pick up additional resources to answer this question for you, however.. according to Johns Hopkins Manual of OBGYN they list: uncorrected/untreated coagulopathy, skin infection at the site (side note: i've heard of anesthesia providers not doing thing through tattoos), bacteremia, refractory HoTN/hypovolemia, increased ICP, extensive surgery at the site.
    Disclaimer: not a CRNA
  4. by   nurselizk
    unstable CNS dz, elevated ICP, aortic stenosis, to name more...