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Spinal Anesthesia Course
More than 2 million students worldwide

Spinal Anesthesia Course

Master every aspect of spinal anesthesia — from foundational neurophysiology to advanced complication management. This course equips anesthesia professionals with the clinical knowledge and procedural precision needed to perform safe, effective neuraxial blocks across diverse patient populations. Elevate your practice with evidence-based protocols and real-world clinical reasoning.

Dedika for Business

What you will learn:

This course covers the complete scope of spinal anesthesia practice, starting with vertebral anatomy, CSF physiology, and local anesthetic pharmacology. You will learn systematic patient assessment, contraindication screening, and anticoagulation management protocols. Procedural technique chapters walk you through needle selection, sterile setup, landmark identification, and drug injection. You will also develop skills in block assessment, hemodynamic monitoring, and rescue strategies for failed or inadequate blocks. Special population modules address obstetric, pediatric, geriatric, and cardiac patients. The final chapters integrate quality improvement, ultrasound guidance, simulation-based training, and medico-legal documentation into a complete clinical framework.

How you study in practice Spinal Anesthesia Course

How you practise Spinal Anesthesia Course

For companies looking to train their team

With Dedika for Business, the course includes exercises and examples tailored to your own business and the way your company needs.

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Course Content

8 Chapters • 39 LessonsDuration between 4 and 360 hours (you decide)

Chapter 1See details

Foundations of Spinal Anesthesia

  • Lesson 1 • Local Anesthetic Pharmacology

    Profiles agents used intrathecally, including potency, duration, and baricity. Enables evidence-based drug selection for specific clinical scenarios.

  • Lesson 2 • Intrathecal Adjuvants

    Reviews opioids, alpha-2 agonists, and other additives that modify block quality and duration. Connects adjuvant pharmacology to clinical outcome optimization.

  • Lesson 3 • Cerebrospinal Fluid Physiology

    Explains CSF production, circulation, and pressure dynamics. Understanding CSF behavior predicts drug spread and onset of block.

  • Lesson 4 • Neurophysiology of Spinal Blockade

    Describes how local anesthetics inhibit sodium channels and block nerve conduction. Explains differential blockade of sensory, motor, and autonomic fibers.

  • Lesson 5 • Vertebral Column and Spinal Anatomy

    Covers bony landmarks, ligaments, and intervertebral spaces relevant to needle placement. Provides the anatomical map used throughout all procedural chapters.

Chapter 2See details

Patient Assessment and Selection

  • Lesson 1 • Absolute and Relative Contraindications

    Distinguishes conditions that prohibit spinal anesthesia from those requiring risk-benefit analysis. Guides safe patient selection in complex clinical situations.

  • Lesson 2 • Risk Stratification and ASA Classification

    Applies physical status scoring and comorbidity analysis to predict procedural risk. Connects patient classification to monitoring intensity and contingency planning.

  • Lesson 3 • Preoperative History and Physical Exam

    Structures a focused anesthesia history targeting neuraxial-specific risk factors. Builds the clinical reasoning framework for patient selection decisions.

  • Lesson 4 • Informed Consent for Neuraxial Procedures

    Covers the ethical and practical elements of obtaining valid consent for spinal anesthesia. Ensures patients understand risks, benefits, and alternatives before agreeing.

  • Lesson 5 • Coagulation and Anticoagulation Management

    Applies evidence-based guidelines for safe neuraxial procedures in anticoagulated patients. Reduces hematoma risk through structured timing and laboratory protocols.

Chapter 3See details

Equipment, Sterility, and Setup

  • Lesson 1 • Drug Preparation and Labeling

    Covers safe preparation, concentration verification, and labeling of intrathecal injectates. Eliminates medication errors at the point of drug preparation.

  • Lesson 2 • Spinal Needle Types and Selection

    Compares pencil-point and cutting-bevel needles by gauge, tip design, and clinical indication. Needle choice directly affects PDPH incidence and procedural success.

  • Lesson 3 • Monitoring Equipment and Room Setup

    Defines the minimum monitoring standard and room configuration for safe spinal anesthesia. Ensures rapid detection and treatment of hemodynamic changes.

  • Lesson 4 • Sterile Technique and Infection Prevention

    Establishes the aseptic protocol required for all neuraxial procedures. Prevents catastrophic infectious complications through rigorous technique.

Chapter 4See details

Procedural Technique and Needle Placement

  • Lesson 1 • Drug Injection and Needle Withdrawal

    Covers injection rate, barbotage, and safe needle removal after drug delivery. Injection technique influences block spread and onset speed.

  • Lesson 2 • Patient Positioning for Spinal Anesthesia

    Teaches lateral decubitus, sitting, and prone positioning with their respective advantages. Correct positioning maximizes interspinous space and block reliability.

  • Lesson 3 • Surface Landmark Identification

    Trains palpation of Tuffier's line, spinous processes, and midline structures. Accurate landmark identification is the first step to successful needle placement.

  • Lesson 4 • Paramedian and Taylor Approaches

    Describes alternative needle trajectories for patients with calcified ligaments or limited flexion. Expands the practitioner's technical repertoire for difficult anatomy.

  • Lesson 5 • Midline Needle Insertion Technique

    Provides step-by-step guidance for midline approach from skin to subarachnoid space. Builds the foundational procedural skill applied in all subsequent technique chapters.

Chapter 5See details

Block Assessment and Management

  • Lesson 1 • Motor Block Grading

    Applies the Bromage scale and functional motor testing to quantify lower-limb block depth. Motor assessment predicts patient mobility and guides discharge planning.

  • Lesson 2 • Block Regression and Recovery Monitoring

    Tracks sensory and motor regression to determine safe ambulation and discharge readiness. Structured monitoring prevents premature patient mobilization.

  • Lesson 3 • Sensory Block Assessment Methods

    Teaches ice, pinprick, and light-touch testing to map dermatomal block height. Systematic assessment confirms surgical readiness and guides clinical decisions.

  • Lesson 4 • Hemodynamic Monitoring and Response

    Establishes protocols for detecting and treating hypotension and bradycardia after spinal block. Timely intervention prevents cardiovascular collapse.

  • Lesson 5 • Inadequate Block Recognition and Rescue

    Identifies partial, unilateral, and failed blocks and outlines rescue strategies. Prevents patient awareness and pain during surgery through structured decision-making.

Chapter 6See details

Complications: Recognition and Management

  • Lesson 1 • Infectious and Toxic Complications

    Covers meningitis, arachnoiditis, and local anesthetic neurotoxicity from intrathecal injection. Prevention through sterile technique and preservative-free drugs is emphasized.

  • Lesson 2 • Neurological Complications

    Identifies transient neurological symptoms, cauda equina syndrome, and spinal hematoma. Early diagnosis and neurosurgical referral prevent permanent deficits.

  • Lesson 3 • High and Total Spinal Anesthesia

    Describes the clinical presentation and emergency management of unintended cephalad spread. Immediate recognition and airway control are life-saving priorities.

  • Lesson 4 • Cardiovascular Complications

    Addresses hypotension, bradycardia, and cardiac arrest specific to neuraxial sympathectomy. Structured algorithms guide rapid pharmacological and resuscitative response.

  • Lesson 5 • Post-Dural Puncture Headache

    Covers pathophysiology, diagnosis, and stepwise treatment of PDPH including epidural blood patch. Distinguishes PDPH from other post-procedural headache causes.

Chapter 7See details

Special Populations and Clinical Scenarios

  • Lesson 1 • Obstetric Spinal Anesthesia

    Addresses physiological changes of pregnancy and their impact on spinal block management. Covers cesarean delivery dosing, positioning, and fetal considerations.

  • Lesson 2 • Difficult Anatomy and Failed Block Strategies

    Provides systematic approaches for scoliosis, prior lumbar surgery, and morbid obesity. Combines ultrasound guidance and alternative approaches to maximize success.

  • Lesson 3 • Spinal Anesthesia in Cardiac Patients

    Manages sympathectomy-induced hemodynamic instability in patients with limited cardiac reserve. Balances block adequacy against cardiovascular risk through targeted interventions.

  • Lesson 4 • Pediatric Spinal Anesthesia

    Covers anatomical differences, weight-based dosing, and sedation requirements in children. Enables safe neuraxial anesthesia in neonates and infants for specific indications.

  • Lesson 5 • Geriatric Patient Considerations

    Adapts drug dosing and monitoring to age-related physiological decline in elderly patients. Reduces complications through anticipatory management of cardiovascular fragility.

Chapter 8See details

Quality, Safety, and Advanced Practice

  • Lesson 1 • Simulation-Based Skill Development

    Uses task trainers and high-fidelity simulation to build and maintain procedural competency. Deliberate practice in simulation reduces errors in clinical settings.

  • Lesson 2 • Checklists and Safety Protocols

    Implements pre-procedure checklists and time-out protocols specific to neuraxial anesthesia. Systematic verification reduces wrong-site and wrong-drug errors.

  • Lesson 3 • Ultrasound Guidance for Spinal Anesthesia

    Applies preprocedural ultrasound to identify intervertebral levels and measure depth to dura. Ultrasound guidance improves first-pass success in difficult anatomy cases.

  • Lesson 4 • Evidence-Based Practice and Research Literacy

    Develops skills to critically appraise neuraxial anesthesia literature and apply findings clinically. Practitioners update protocols based on current evidence rather than tradition.

  • Lesson 5 • Outcome Measurement and Audit

    Establishes metrics for tracking block success rates, complications, and patient satisfaction. Data-driven audit cycles drive continuous improvement in neuraxial practice.

Certification

Your valid completion certificate

This course is for you:

  • Anesthesiology resident: building procedural competency during supervised clinical training.

  • Certified registered nurse anesthetist: deepening pharmacological and complication-management expertise.

  • Anesthesiologist seeking structured review: consolidating years of practice into organized clinical knowledge.

  • Surgical trainee or hospitalist: gaining working knowledge of neuraxial anesthesia for informed collaboration.

  • Anesthesia educator or program director: strengthening the evidence base behind what they teach trainees.

  • International medical graduate: standardizing neuraxial practice to meet new institutional or licensing expectations.

What our students say

Your classes are perfect. I purchased the one-year package and finally have the opportunity to follow various topics of interest without needing to switch platforms... I thank you for everything you do, I've already recommended you to other people...
Giulio Carlo
Giulio CarloDigital Marketing Student
I like how the lessons are straight to the point and how I can change chapters and skip content I don't need.
Mariana Ferres
Mariana FerresPhotography Student
I like the content and the presentation style and video transcription, which speeds up the process!
Luciana Alvarenga
Luciana AlvarengaNail Design Student
The platform is fast, simple to use. The diversity of content and complementary videos really help with learning.
André Felipe
André FelipePrompt Engineering Student

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