
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.
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 practice Spinal Anesthesia Course
For companies that want 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.
Course content
8 Chapters • 39 LessonsDuration between 4 and 360 hours (you decide)
Chapter 1HideHide detailsSee detailsFoundations of Spinal Anesthesia
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 2HideHide detailsSee detailsPatient Assessment and Selection
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 3HideHide detailsSee detailsEquipment, Sterility, and Setup
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 4HideHide detailsSee detailsProcedural Technique and Needle Placement
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 5HideHide detailsSee detailsBlock Assessment and Management
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 6HideHide detailsSee detailsComplications: Recognition and Management
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 7HideHide detailsSee detailsSpecial Populations and Clinical Scenarios
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 8HideHide detailsSee detailsQuality, Safety, and Advanced Practice
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.
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
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