Question

What positions will prevent high spinal when using hypobaric solution?

a) Prone position
b) Sitting position
c) Trendelenburg position
d) Left lateral position

Answer 1

To prevent high spinal levels, prone, sitting, and Trendelenburg positions should be avoided as they can lead to dangerous cephalad migration of the hypobaric solution. Instead, the left lateral position is recommended to minimize this risk.

Step-by-step explanation:

To prevent high spinal levels when using a hypobaric spinal anesthetic solution, certain positions should be avoided. The position chosen can affect the distribution of the anesthetic solution due to its lower density compared to cerebrospinal fluid (CSF).

The prone position, sitting position, and Trendelenburg position are likely to encourage cephalad migration of a hypobaric solution leading to a high spinal level, which can be dangerous. The left lateral position is typically used to minimize this risk because it promotes the distribution of the hypobaric solution away from the upper spinal segments.